Individual provider Active NPI

Shawna Houston, PT

  • Physical Therapist
  • Collierville, TN
National Provider Identifier
1083497994
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14992 Issued in TN
Practice address
622 W Poplar Ave Ste 5
Collierville, TN 38017-2578
Phone
(901) 850-5246
Fax
(901) 850-5226
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 14992 TN Primary

Addresses

Primary practice location

622 W Poplar Ave Ste 5
Collierville, TN 38017-2578

Mailing address

622 W Poplar Ave Ste 5
Collierville, TN 38017-2578
Phone (901) 850-5246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914000824 TN Practitioner - Physical Therapist in Private Practice 5193189819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittman Physical Therapy LLCGroup PAC ID 5991804031, 10 clinicians

Practice addresses (Care Compare)

622 W Poplar Ave
Collierville, TN 38017-2578

632 W Poplar Ave
Collierville, TN 38017-2540
Phone (901) 850-5246

Merit-based Incentive Payment System (MIPS)

Final score
16.34 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
54.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1083497994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W POPLAR AVE STE 5",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172578",
            "telephone_number": "901-850-5246",
            "fax_number": "901-850-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W POPLAR AVE STE 5",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172578",
            "telephone_number": "901-850-5246",
            "fax_number": "901-850-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "SHAWNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.