Active NPI
Shanee Allen
- Physical Therapist
- El Paso, TX
National Provider Identifier
1013475557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1316311
- Practice address
- 2496 Ricker Road
El Paso, TX 79925 - Phone
- (915) 742-1340
- NPI assigned
- Mar 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1316311 | TX | Primary |
Addresses
Primary practice location
2496 Ricker Road
El Paso, TX 79925
Mailing address
5980 Redstone Rim Dr
El Paso, TX 79934-3316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5940 S Rainbow Blvd
Las Vegas, NV 89118-2540
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1316311 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964
Organizations & group practices 1
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.
-
- Physical Therapist
- Las Vegas, NV
- NPI 1457087009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1013475557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5980 REDSTONE RIM DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799343316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2496 RICKER ROAD",
"city": "EL PASO",
"state": "TX",
"postal_code": "79925",
"telephone_number": "915-742-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "SHANEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1316311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.