Jamie Shackles, DPT
Physical Therapist, Orthopedic in Bristol, BUCKS. Individual provider (NPI-1).
NPI number1154874501
StatusActive
Last updated in NPPESAug 2, 2016
Details
- NPI
- 1154874501
- Entity type
- Individual (NPI-1)
- Name
- Jamie Shackles
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2016
- Last updated
- Aug 2, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | PT025384 | PA | Yes |
Practice location
100 Green LaneSuite 1
Bristol, BUCKS 19007
United States Minor Outlying Islands
Phone 215-826-0166 · Fax 215-826-0285
Mailing address
56 N Sylvania AveFront 2
Rockledge, PA 19046-4271
Phone 215-307-6228
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