Individual provider Active NPI

Hannah M Shirah, DPT

  • Physical Therapist
  • Aiken, SC
National Provider Identifier
1003421223
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014789 Issued in GA
Practice address
181 Town Creek Rd
Aiken, SC 29803-5841
Phone
(803) 642-0700
Fax
(803) 642-0588
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT014789 GA Primary

Addresses

Primary practice location

181 Town Creek Rd
Aiken, SC 29803-5841

Mailing address

181 Town Creek Rd
Aiken, SC 29803-5841
Phone (803) 642-0700

Other practice location 1

7440 Highway 92
Woodstock, GA 30189-5235
Phone (770) 212-2170

Other practice location 2

790 Oak Trail Dr
Marietta, GA 30062-7502
Phone (770) 212-2170

Other practice location 3

714 S Lake Dr
Lexington, SC 29072-3462
Phone (803) 356-4782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624003538 SC Practitioner - Physical Therapist in Private Practice 6002359668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services of South Carolina, LLCGroup PAC ID 3971639998, 289 clinicians

Practice addresses (Care Compare)

800 N Lake Dr
Lexington, SC 29072-2903
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014789GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy of Aiken, LLC Multi-Specialty CurrentSince Dec 28, 2022 Accepting new patients
Pediatric Therapy of Aiken, LLC CurrentSince Dec 28, 2022 Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Multi-Specialty CurrentSince May 1, 2024 Accepting new patients
Moon River, LLC Multi-Specialty CurrentSince Sep 1, 2020 Accepting new patients

Locations

7440 Highway 92
Woodstock, GA 30189
Phone (770) 212-2170

7 Carnegie Plz
Cherry Hill, NJ 08003

181 Town Creek Rd
Aiken, SC 29803
Phone (803) 642-0700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1003421223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7440 Highway 92",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301895235",
            "country_code": "US",
            "telephone_number": "770-212-2170",
            "fax_number": "770-783-8639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Oak Trail Dr",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300627502",
            "country_code": "US",
            "telephone_number": "770-212-2170",
            "fax_number": "770-783-8639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 S Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290723462",
            "country_code": "US",
            "telephone_number": "803-356-4782",
            "fax_number": "803-996-4782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRAH",
        "first_name": "HANNAH",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.