Provider Demographics
NPI:1740254101
Name:SHUMRICK, ANGELA M (PT)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:M
Last Name:SHUMRICK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7685 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4216
Mailing Address - Country:US
Mailing Address - Phone:513-231-2700
Mailing Address - Fax:513-231-2666
Practice Address - Street 1:7685 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4216
Practice Address - Country:US
Practice Address - Phone:513-231-2700
Practice Address - Fax:513-231-2666
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT08075225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2468897Medicaid
OH2468897Medicaid