SHELBY RAE JIMENEZ PTA
NPI 1720568611
Physical Therapy Assistant in Wasilla, AK

Active since August 20, 2018
3190 E MERIDIAN PARK LOOP STE 206A, WASILLA, AK 99654(907) 373-9462(907) 373-9463 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelby Rae Jimenez Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY RAE JIMENEZ PTA (NPI 1720568611) is an individual physical therapy assistant in Wasilla, Alaska, licensed in Alaska (116806) and active in the NPI registry since August 2018. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1720568611
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameSHELBY RAE JIMENEZCredential: PTA
Location Address3190 E MERIDIAN PARK LOOP STE 206AWasilla, AK 99654-7422
Mailing Address4130 N Preston AveWasilla, AK 99654-1352 · (907) 414-4392
Fax(907) 373-9463
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 20, 2018
NPI 1720568611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in AK · 116806
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
3190 E MERIDIAN PARK LOOP STE 206A, Wasilla, AK 99654

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shelby Rae Jimenez Pta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860981230
PECOS Enrollment IDI20251028000364

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
3190 E MERIDIAN PARK LOOP STE 206A
WASILLA, AK 99654
Physical Therapist
3190 E MERIDIAN PARK LOOP STE 206A
WASILLA, AK 99654
Physical Therapist
3190 E MERIDIAN PARK LOOP STE 206A
WASILLA, AK 99654
Clinic/Center (Physical Therapy)
3190 E MERIDIAN PARK LOOP STE 206A
WASILLA, AK 99654
Physical Therapist
3190 E MERIDIAN PARK LOOP STE 206A
WASILLA, AK 99654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Jimenez's NPI number?

The NPI number for Shelby Jimenez is 1720568611. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Shelby Jimenez located?

Shelby Jimenez practices at 3190 E Meridian Park Loop Ste 206A, Wasilla, AK 99654. The listed phone number is (907) 373-9462.

What is Shelby Jimenez's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

Is Shelby Jimenez enrolled in Medicare?

Yes. Shelby Jimenez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Jimenez was last updated on August 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.