Shawn Duncan Sutton

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012534 Issued in OH

Practice address

841 W Marion Rd
Mount Gilead, OH 43338-1031

Phone

(419) 946-1980

Fax

(419) 946-1757

NPI assigned

Aug 5, 2009

Sex

Male

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.

• Southeast Chiropractic and Therapy Center Inc

  • Chiropractor
  • Warrensville Heights, OH
  • NPI 1295854669
  NPD (past)
• Southeast Lifeforce Corporation

  • Chiropractor
  • Cleveland, OH
  • NPI 1962795062
  NPD (past)

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1033340385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 W MARION RD",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381031",
            "telephone_number": "419-946-1980",
            "fax_number": "419-946-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 W MARION RD",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381031",
            "telephone_number": "419-946-1980",
            "fax_number": "419-946-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "SHAWN",
        "middle_name": "DUNCAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Stone, LSW, CDCA
• Joshua Stone
• Christie L Storie, LPN
• Wesley Sturgill
• Brayden Richard Sumney, OTR
• Crystal Swango
• Amanda Taylor
• The Kroger Co
• Travis Lee Thompson
• Tory Tobin

• Physical Therapist in Mount Gilead, OH
• Providers in Mount Gilead, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.