Active NPI
Shannon Rouse
- Physical Therapist
- Erin, TN
National Provider Identifier
1124485420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8139
- Practice address
- 3507 W Main St
Erin, TN 37061-4148 - Phone
- (931) 289-5460
- NPI assigned
- Jan 19, 2016
- Last updated
- Jan 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8139 | TN | Primary |
Addresses
Primary practice location
3507 W Main St
Erin, TN 37061-4148
Mailing address
7 Woodland Dr
Tennessee Ridge, TN 37178-5161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8139 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid South Rehab Outpatient Clinic LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba 360 Total Rehab
- Physical Therapy Clinic/Center
- Jackson, TN
- NPI 1265977847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1124485420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WOODLAND DR",
"city": "TENNESSEE RIDGE",
"state": "TN",
"postal_code": "371785161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3507 W MAIN ST",
"city": "ERIN",
"state": "TN",
"postal_code": "370614148",
"telephone_number": "931-289-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "8139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erin, TN
- Patients Choice Medical Center of Erin, Tennessee, LLC
- Pharmer Girl Holdings LLC
- Richard Allen Ramsey, PHARM.D.
- Rise Pediatric Therapy Services
- Sarah Ann Rogers, RDN, LDN
- Safe Harbor of Erin
- Shamrock Community Hospital Inc (Shamrock Community Hospital Medical Group)
- Shamrock Community Hospital Inc (Houston County Community Hospital)
- Shamrock Community Hospital Inc. (Houston County Community Hospital)
- Misty Lee Shortt, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.