Shannon Kathleen Reese, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000004685 Issued in TN

Practice address

5000 Crossing Circle
Ste 100
Mt Juliet, TN 37122

Phone

(615) 758-2490

Fax

(615) 758-2492

NPI assigned

Sep 24, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gulf Breeze Physical Therapy Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Pensacola, FL
  • NPI 1730183153
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1184050007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CEDAR BLUFF RD",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370743926",
            "telephone_number": "615-374-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CROSSING CIRCLE",
            "address_2": "STE 100",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-758-2490",
            "fax_number": "615-758-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "SHANNON",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000004685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Rearick
• Ashley Paige Reed
• Chantelle R. Reed, CCC-SLP
• Jacquese Reed, PHARMD
• Shannon Reed
• Shondra Nicole Reese
• Tyler Thomas Reeves
• Refined Health Center LLC
• Regional Healthcare Group LLC
• Kimberly Reich

• Physical Therapy Assistant in Mount Juliet, TN
• Providers in Mount Juliet, 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 Sep 24, 2013; 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.