Shanna Bisnette
Individual provider Active NPI Physical Therapy Assistant · Westmoreland, KS
NPI 1104056985 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1104056985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-01989 (KS)
- Practice address
- 105 N, KS-99
Westmoreland, KS 66549 - Phone
- (785) 457-2801
- Fax
- (512) 310-9228
- NPI assigned
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-01989 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-01989 | KS | Yes |
Addresses
Primary practice location
105 N, KS-99
Westmoreland, KS 66549
Mailing address
105 N, KS-99
Westmoreland, KS 66549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031DG | Other | BLUE CROSS BLUE SHIELD | |
| 0944746-02 | Medicaid | TX | |
| 74-2745294 | Other | TAX ID |
Other providers in Westmoreland, KS
- Andrea Beyer
- Nancy Ann Bosse
- Krista H. Caffey
- Nicholas W Cahoj
- Community Healthcare System, Inc
- County of Pottawatomie
All providers in Westmoreland, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.