Shannon E Smithey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0010988 Issued in CO

Practice address

301 Andrews Ave. Lyster Army Health Clinic
Fort Rucker, AL 36362-5333

Phone

(800) 261-7193

Fax

(334) 255-7710

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon E Foo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1083846372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SIMMONS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302818",
            "telephone_number": "800-261-7193",
            "fax_number": "334-255-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE. LYSTER ARMY HEALTH CLINIC",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "800-261-7193",
            "fax_number": "334-255-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHEY",
        "first_name": "SHANNON",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0010988",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "FOO",
            "middle_name": "E",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Ephland Smith
• Patricia A Smith, RN
• Robert E Smith, EMT
• Sarah Smith, CONTACT REPRESENTATI
• Susan S Smith, LCSW
• Denise H Souza, PA-C
• Amanda Marie Spears, L.P.N.
• Margaret J Spears, RN
• Virgil Thomas Speece, APA-C
• Genna Speed, RN

• Physical Therapist in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.