Individual provider Active NPI

Shannon Nicole Jones, DPT

  • Physical Therapist
  • North Charleston, SC
National Provider Identifier
1083164131
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11078 Issued in SC
Practice address
2791 Tricom St Ste 102
North Charleston, SC 29406-8108
Phone
(843) 790-8520
Fax
(843) 790-8530
NPI assigned
Oct 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 62 040590 NY
Orthopedic Physical Therapist 2251X0800X PTL.0018093 CO
Physical Therapist 225100000X 11078 SC Primary

Addresses

Primary practice location

2791 Tricom St Ste 102
North Charleston, SC 29406-8108

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

301 Maple Ave
Smithtown, NY 11787-4900
Phone (631) 946-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TN, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170214001916 NY Practitioner - Physical Therapist in Private Practice 5597048702 Reassigns benefits to 1 organization
I20230216003081 TN Practitioner - Physical Therapist in Private Practice 5597048702 Reassigns benefits to 1 organization
I20240606003122 WA Practitioner - Physical Therapist in Private Practice 5597048702 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040590NYMDPharmacist
62 040590NYMDPhysical Therapist
PTL.0018093COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince May 17, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Li Chiropractic and Physical Therapy PLLC CurrentSince Aug 4, 2019 Accepting new patients
Multicare Health System CurrentSince May 17, 2024 Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients
Theraphysics Partners of Colorado Inc Past Accepting new patients
Select Physical Therapy of Denver LTD Physical Therapist Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

260 Middle Country Rd
Ste 7
Selden, NY 11784
Phone (631) 696-4371

301 Maple Ave
Smithtown, NY 11787
Phone (631) 543-0004

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

10141 224th St E
Graham, WA 98338
Phone (253) 240-0315

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1083164131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 TRICOM ST STE 102",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294068108",
            "telephone_number": "843-790-8520",
            "fax_number": "843-790-8530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117874900",
            "country_code": "US",
            "telephone_number": "631-946-6677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 040590",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0018093",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.