MR. NATHAN R. SHIELDS P.T.
NPI 1861466484
Physical Therapist - Electrophysiology, Clinical in Wasilla, AK

Active since February 13, 2006Accepts Medicare Assignment
3066 E MERIDIAN PARK LOOP STE 101, WASILLA, AK 99654(907) 205-5945(907) 205-5948 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2018, Aug 1, 2018 (2 updates tracked since 2018).

About Mr. Nathan R. Shields P.t. NPPES

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

MR. NATHAN R. SHIELDS P.T. (NPI 1861466484) is an individual electrophysiology, clinical provider in Wasilla, Alaska, licensed in Alaska (109306) and active in the NPI registry since February 2006. He maintains a secondary practice location in Chandler and is a graduate of Other (1999).

NPPES Registry Identity

NPI1861466484
Entity TypeIndividualMale
Primary Taxonomy2251E1300X
Provider Legal NameMR. NATHAN R. SHIELDSCredential: P.T.
Location Address3066 E MERIDIAN PARK LOOP STE 101Wasilla, AK 99654
Mailing AddressPo Box 873895Wasilla, AK 99687-3895 · (480) 695-3343
Fax(907) 205-5948
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 13, 2006
Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration
NPI 1861466484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · Electrophysiology, ClinicalRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251E1300X
License Licensed in AK · 109306
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.
Also ListedPhysical TherapistTaxonomy 225100000X · License 5063 (AZ)
3066 E MERIDIAN PARK LOOP STE 101, Wasilla, AK 99654

Secondary Practice Location 1

Location 13930 S. Alma School Rd.,, #3Chandler, AZ 85248-4510 · Phone (480) 899-9829 · Fax (480) 726-9829

Other Identifiers 1

Medicaid1651715AK

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Nathan R. Shields P.t. 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 ID7618867557
PECOS Enrollment IDI20161107000711

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 Nathan Shields's NPI number?

The NPI number for Nathan Shields is 1861466484. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Nathan Shields located?

Nathan Shields practices at 3066 E Meridian Park Loop Ste 101, Wasilla, AK 99654. The listed phone number is (907) 205-5945.

What is Nathan Shields's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Electrophysiology, Clinical, with taxonomy code 2251E1300X.

Is Nathan Shields enrolled in Medicare?

Yes. Nathan Shields 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.

What insurance does Nathan Shields accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Nathan Shields as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathan Shields was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.