Shannon Lyn Myers

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE008974 Issued in PA

Practice address

5830 Meridian Rd
Gibsonia, PA 15044-9668

Phone

(724) 444-0700

NPI assigned

Feb 20, 2012

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1063785145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 ADERHOLD RD",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160569564",
            "telephone_number": "724-352-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MERIDIAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449668",
            "telephone_number": "724-444-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SHANNON",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE008974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Mistovich Jr., D.D.S.
• MK Chiropractic Center
• Elizabeth Molloy
• Marie C Moreau, CRNP
• Ashley B Morrison, SLP
• Myles Dental, Inc.
• Rebekah Louise Nesbitt
• Lewis Fairbanks Nettrour, M.D.
• Linda C. Neuenschwander, LSW
• Meredith Ann Newingham

• Physical Therapy Assistant in Gibsonia, PA
• Providers in Gibsonia, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.