Shannnon Brown Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

7820 Walking Horse Cir
Germantown, TN 38138-2143

Phone

(901) 752-2500

NPI assigned

Feb 18, 2020

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

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1093348146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10233 EVENINGHILL DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160334",
            "telephone_number": "901-661-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 WALKING HORSE CIR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382143",
            "telephone_number": "901-752-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNNON",
        "middle_name": "BROWN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Steven Smith, D.D.S.
• Matthew Paul Smith, PH D
• Rachael E Smith, M.D.
• Rebecca Ann Smith, AU.D., CCC-A
• Sarah K. Smith
• Venetia A Smith, FNP
• William A Smith Jr., MD
• Maureen A Smithers, M.D.
• Leann Nicole Smoot, PA-C
• Peter David Snell, DO

• Physical Therapy Assistant in Germantown, TN
• Providers in Germantown, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.