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JENNIFER ANN SHEAKLEY DPT
NPI 1790150712
Specialist in Girard, PA

Active since December 02, 2015Accepts Medicare Assignment
9125 RIDGE RD STE C, GIRARD, PA 16417(814) 646-6508(814) 295-6441 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2023, Dec 2, 2015 (2 updates tracked since 2015).

About Jennifer Ann Sheakley Dpt NPPES

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

JENNIFER ANN SHEAKLEY DPT (NPI 1790150712) is an individual specialist in Girard, Pennsylvania, licensed in Pennsylvania (PT016388) and active in the NPI registry since December 2015. She maintains a secondary practice location in Erie and is a graduate of Other (2003).

NPPES Registry Identity

NPI1790150712
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER ANN SHEAKLEYCredential: DPT
Location Address9125 RIDGE RD STE CGirard, PA 16417-9645
Mailing Address4538 Peach St Ste AErie, PA 16509-1364 · (814) 864-6650 · Fax (814) 806-2557
Phone(814) 646-6508
Fax(814) 295-6441
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 2, 2015
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1790150712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · PT016388
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9125 RIDGE RD STE C, Girard, PA 16417
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Other Names 1

Former Name (1)Jennifer Ann Puello Dpt

Secondary Practice Location 1

Location 14538 Peach St Ste AErie, PA 16509-1364 · Phone (814) 864-6650 · Fax (814) 806-2557

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Ann Sheakley Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082995774
PECOS Enrollment IDI20170112000783

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Sheakley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mrs Physical Therapy
12 mi
Physical Therapist
4538 PEACH ST
Erie, PA 16509
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7 clinicians in this Medicare group
NPI 1306893763 (814) 864-6650
Keystone Rehabilitation Systems, Inc.
14 mi
Physical Therapy
5930 OLD FRENCH RD
Erie, PA 16509
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 62 clinicians in this Medicare group
NPI 1184174435 (814) 860-7816

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jennifer Sheakley's NPI number?

The NPI number for Jennifer Sheakley is 1790150712. It was assigned to this individual provider in the NPPES registry on December 2, 2015. The provider is also known as Jennifer Ann Puello Dpt.

Where is Jennifer Sheakley located?

Jennifer Sheakley practices at 9125 Ridge Rd Ste C, Girard, PA 16417. The listed phone number is (814) 646-6508.

What is Jennifer Sheakley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jennifer Sheakley enrolled in Medicare?

Yes. Jennifer Sheakley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Sheakley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Sheakley reassigns Medicare benefits to 2 organizations: Mrs Physical Therapy (Erie, PA) and Keystone Rehabilitation Systems, Inc. (Erie, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Sheakley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Sheakley was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.