TIARA D. SHIPE (P.T.) – Physical Medicine & Rehabilitation Physician, NPI 1457588113

TIARA D. SHIPE (P.T.) is a healthcare provider. based in Northumberland, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT019919 (PA). The NPI Number for TIARA D. SHIPE (P.T.) is 1457588113

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
TIARA D. SHIPE (P.T.)
NPI
1457588113
Phone
(570) 473-3912
Address
PO BOX 64
Enumeration Date
19 June 2009
Last Update Date
21 October 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5702867462
Graduation Year
2009 (17 years ago)
PAC ID
2567514284
Group Practice PAC ID
7012308406
Professional Enrollment ID
I20090710000076
Address ID
PA178012000SU309XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,280 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

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Provider Addresses for TIARA D. SHIPE (P.T.)

  • PO BOX 64

    845 WATER STREET

    NORTHUMBERLAND, PA 178570064

    Phone: (570) 473-3912

    Fax: (570) 473-8731

    Type: Mailing

  • 845, Water Street, Northumberland, Northumberland County, Pennsylvania, 17857, United States

    NORTHUMBERLAND, PA 178570064

    Phone: (570) 473-3912

    Fax: (570) 473-8731

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090710000076IPhysical Therapist In Private PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes66455$0
97140Therapy procedure using manual technique, each 15 minutes36346$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15825$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care15227$0
97530Therapy procedure using functional activities11923$0
View full utilization report →

Insurance plans in this area (ZIP 17857)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012308406View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

Does TIARA D. SHIPE (P.T.) have a public NPI I can cite?
Public records show TIARA D. SHIPE (P.T.) under NPI 1457588113.
Is TIARA D. SHIPE (P.T.)'s NPI status active today?
Active status means TIARA D. SHIPE (P.T.)'s NPI record is not deactivated in the public file.
Which specialty label fits TIARA D. SHIPE (P.T.)?
NPPES ties TIARA D. SHIPE (P.T.) to Physical Medicine & Rehabilitation Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to TIARA D. SHIPE (P.T.)?
The directory associates TIARA D. SHIPE (P.T.) with Northumberland, Pennsylvania. Check all listed addresses for suites or satellite offices.
Why is information missing for TIARA D. SHIPE (P.T.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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