Individual provider Active NPI

Shannon Faith Jones, DPT, ATC

  • Physical Therapist
  • Philippi, WV
National Provider Identifier
1053979641
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004016 Issued in WV
Practice address
1 Healthcare Dr
Philippi, WV 26416-9405
Phone
(304) 457-1760
Fax
(304) 457-1516
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004016 WV Primary

Addresses

Primary practice location

1 Healthcare Dr
Philippi, WV 26416-9405

Mailing address

1 Healthcare Dr
Philippi, WV 26416-9405
Phone (304) 457-1760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821004155 WV Practitioner - Physical Therapist in Private Practice 3476881970 Reassigns benefits to 2 organizations

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
Elkins Physical Therapy Service IncGroup PAC ID 6305127358, 9 clinicians
Country Roads Physical Therapy and RehabilitationGroup PAC ID 5597835603, 28 clinicians

Practice addresses (Care Compare)

1035 Fraternal Cemetery Rd
Belington, WV 26250-7810
Phone (304) 636-2340

120 Buckhannon XRDS
Suite 112
Buckhannon, WV 26201-8477
Phone (304) 472-8510

Merit-based Incentive Payment System (MIPS)

Final score
92.22 of 100Reported as individual
Quality
84.44
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004016WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elkins Physical Therapy Service, Inc. Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Country Roads Physical Therapy and Rehabilitation Physical Therapist CurrentSince Jul 1, 2019 Accepting new patients

Locations

1035 Fraternal Cemetery Rd
Belington, WV 26250
Phone (304) 636-2340

120 Buckhannon Xrds
Ste 112
Buckhannon, WV 26201
Phone (304) 472-8510

1509 Fairmont Ave
Fairmont, WV 26554
Phone (304) 363-0050

1031 Morgantown Ave
Fairmont, WV 26554
Phone (304) 333-8840

200 Fort Pierpont Dr
Ste 107
Morgantown, WV 26508
Phone (304) 322-4232

Organizations & group practices 2

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1053979641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTHCARE DR",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264169405",
            "telephone_number": "304-457-1760",
            "fax_number": "304-457-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHCARE DR",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264169405",
            "telephone_number": "304-457-1760",
            "fax_number": "304-457-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHANNON",
        "middle_name": "FAITH",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "004016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philippi, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.