Individual provider Active NPI

Shannon Marie Nash, DPT

  • Physical Therapist
  • Harrisonburg, VA
National Provider Identifier
1013434760
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212728 Issued in VA
Practice address
313 Neff Ave Ste C
Harrisonburg, VA 22801-3495
Phone
(540) 434-1200
Fax
(540) 434-1203
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH8595 AL
Physical Therapist 225100000X 5562 OK
Physical Therapist 225100000X 2305212728 VA Primary

Addresses

Primary practice location

313 Neff Ave Ste C
Harrisonburg, VA 22801-3495

Mailing address

5300 Derry St
FL 2
Harrisburg, PA 17111-3576
Phone (205) 747-2710

Other practice location 1

2900 N Main St Ste 102
Muskogee, OK 74401-4078
Phone (918) 608-1135

Other practice location 2

5018 Cahaba River Road
Birmingham, AL 35243-2317
Phone (205) 747-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5562OKMDFamily Medicine Physician
2305212728VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1013434760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DERRY ST",
            "address_2": "FL 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113576",
            "telephone_number": "205-747-2710",
            "fax_number": "205-747-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 NEFF AVE STE C",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013495",
            "telephone_number": "540-434-1200",
            "fax_number": "540-434-1203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744014078",
            "country_code": "US",
            "telephone_number": "918-608-1135",
            "fax_number": "918-608-1142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5018 Cahaba River Road",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352432317",
            "country_code": "US",
            "telephone_number": "205-747-2710",
            "fax_number": "205-747-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8595",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5562",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.