Active NPI
Shannon G Hastings, MS, PT
- Physical Therapist
- Miami Springs, FL
National Provider Identifier
1073622098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 22711
- Practice address
- 171 Westward Dr
Miami Springs, FL 33166-5257 - Phone
- (305) 888-0106
- NPI assigned
- Aug 30, 2006
- 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 | PT 22711 | FL | Primary |
Addresses
Primary practice location
171 Westward Dr
Miami Springs, FL 33166-5257
Mailing address
479 NE 30TH St
Miami, FL 33137-4385
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 22711 | FL | MD | Physical Therapist |
| 025849 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bow Physical Therapy & Spine Center Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Champlain Valley Physicians Hospital Medical Center | Past | Accepting new patients | |
| Sports, Orthopedic and Spine Rehabilitation, P.T. P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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
- Bow, NH
- NPI 1740205764
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
-
- Physical Therapist
- Plattsburgh, NY
- NPI 1912991761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073622098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 NE 30TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331374385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 WESTWARD DR",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331665257",
"telephone_number": "305-888-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "SHANNON",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 22711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.