Shannon Adcock, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05008779 Issued in IN

Practice address

18051 River Ave
Suite 200
Noblesville, IN 46062-7091

Phone

(317) 773-0002

Fax

(317) 776-6095

NPI assigned

Oct 31, 2006

Last updated

Apr 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sadcock116691@direct.mhemail.org

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.

• Mercy Health System Corporation

  dba MHS Physician Services

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603
  Medicare reassignment NPD
• Mercy Health System Corporation

  dba Mercy Hospital Janesville

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1093768962
  NPD
• Mercy Health System Corporation

  dba Mercy Walworth Hospital and Medical Center

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550
  NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1114003019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18051 RIVER AVE",
            "address_2": "SUITE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627091",
            "telephone_number": "317-773-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18051 RIVER AVE",
            "address_2": "SUITE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627091",
            "telephone_number": "317-773-0002",
            "fax_number": "317-776-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADCOCK",
        "first_name": "SHANNON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Active Life Chiropractic Clinic
• Christen Hope Adam, PT, WCC
• Angela Kathryn Adams, MA, CCC/SLP
• Christine L Adams, M.D.
• Shannon K Adams, LCSW
• Eric Adolph, M.D.
• Advanced Gynecology & Pelvic Health Specialists, LLC
• Advantage Chiropractic & Wellness LLC
• Michael A Agostino, MD
• Isabela Aguirre

• Physical Therapist in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.