Shannon Quintero, PTA
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Anson, TX
NPI 1184070997 · NPPES record last updated Jan 12, 2022
Key facts
- NPI
- 1184070997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 101 Liberty LN
Anson, TX 79501-2197 - Phone
- (325) 823-2141
- NPI assigned
- May 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 26913 | FL | MD | Physical Therapy Assistant |
| 2167050 | TX | MD | Physical Therapy Assistant |
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2167050 | TX | |
| Physical Therapy Assistant | 225200000X | 26913 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
101 Liberty LN
Anson, TX 79501-2197
Mailing address
1061 NW 46TH PL
Ocala, FL 34475-9574
Phone (321) 696-5158
Other practice location 1
1565 Saxon Blvd Ste 301
Deltona, FL 32725-5836
Phone (386) 851-0901
Other providers in Anson, TX
- Jessica Ryan Johnson
- Jones County Aging Services
- Kapu Medical Clinic
- Bobby Wayne Lindsey Jr.
- Missionary Baptist Foundation of America, Inc
- Ron Ramsey
- Ray N Gibson, DO
- Raymond Richard Bixby MD
- Rosemeade Place Dental Center, PLLC
- Merry Sanchez
All providers in Anson, TX · Student in an Organized Health Care Education/Training Program in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2022. 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.