Shannon Injety, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

24657 Issued in CA

Practice address

1001 E Cooley Dr
Ste 101
Colton, CA 92324-3941

Phone

(909) 783-1111

Fax

(909) 783-3957

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Thrive Pediatrics

  • Rehabilitation Clinic/Center
  • Redlands, CA
  • NPI 1659470300
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003917451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E COOLEY DR",
            "address_2": "STE 101",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243941",
            "telephone_number": "909-783-1111",
            "fax_number": "909-783-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E COOLEY DR",
            "address_2": "STE 101",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243941",
            "telephone_number": "909-783-1111",
            "fax_number": "909-783-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INJETY",
        "first_name": "SHANNON",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "24657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Home Healthcare, Inc.
• Independent Life Transportation LLC
• Sergio Infante, MD
• Dannilo Iniguez, PHARMACY TECH
• Gwendeline Init
• Inland Caregiver Resource Center
• Inland Empire Anesthesia Medical Group, Inc
• Inland Empire Medical Group Inc.
• Inland Empire Nephrology, Inc.
• Inland Eye Institute Medical Group Inc

• Pediatric Physical Therapist in Colton, CA
• Providers in Colton, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.