Shannon L Tennant, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012394 Issued in OH

Practice address

88 East Memorial Drive
Pomeroy, OH 45769

Phone

(740) 992-0060

Fax

(740) 446-5154

NPI assigned

Apr 28, 2009

Last updated

Feb 3, 2012By 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

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Health Association

  dba Jackson General Hospital

  • Critical Access Hospital
  • Ripley, WV
  • NPI 1649277476
  Medicare reassignment NPD
• Community Health Association

  dba Jackson General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ripley, WV
  • NPI 1083805790
  NPD
• Community Health Association

  dba JGH Therapy and SportsCare

  • Physical Therapy Clinic/Center
  • Ravenswood, WV
  • NPI 1124369780
  NPD

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1174767677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "740-992-0060",
            "fax_number": "740-446-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 EAST MEMORIAL DRIVE",
            "city": "POMEROY",
            "state": "OH",
            "postal_code": "45769",
            "telephone_number": "740-992-0060",
            "fax_number": "740-446-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED MUTAL OF OHIO",
            "identifier": "1174767677",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH MEDICAID UNISON",
            "identifier": "000000270651",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014932",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH MEDICAID MOLINA",
            "identifier": "2970129",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2970129",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00794068",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Spencer, PT
• Jennifer R Starcher
• Deborah W Stewart, LSW
• Sonya Jean Tarsoly, M.A., ED,S,
• Leeann Taylor, DENTAL TRMT COORD
• Codi A Thomas, LISW
• Melissa Thompson
• Totenkopf, Inc. (Active Chiropractic Care)
• April Michelle Turner
• Monica L Turner, DENTAL HYGIENIST

• Physical Therapist in Pomeroy, OH
• Providers in Pomeroy, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.