Active NPI
Shannon Lee Higginson, DPT
- Physical Therapist
- Taylorsville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11281885-2401
- Practice address
- 3845 W 4700 S
Taylorsville, UT 84129-3454 - Phone
- (801) 840-2191
- NPI assigned
- May 24, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 11281885-2401 | UT | |
| Physical Therapist | 225100000X | 11281885-2401 | UT | Primary |
Addresses
Primary practice location
3845 W 4700 S
Taylorsville, UT 84129-3454
Mailing address
3222 S 1940 E
Millcreek, UT 84106-3920
Phone (781) 635-5337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16455 Statesville Rd
Suite 300
Huntersville, NC 28078-7139
Phone (704) 801-3719
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11281885-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Physical Therapist | Current | Accepting new patients |
| Atrium Health Specialty Network Inc | Physical Therapist | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100
15940 Brixham Hill Ave
#201
Charlotte, NC 28277
Phone (704) 667-8530
705 Griffith St
Davidson, NC 28036
Phone (704) 801-7900
16455 Statesville Rd
Ste 300
Huntersville, NC 28078
Phone (704) 801-3719
9726 Sam Furr Rd
Huntersville, NC 28078
Phone (704) 801-3310
Organizations & group practices 4
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.
-
dba Atrium Health Dermatology
- Dermatology Physician
- Charlotte, NC
- NPI 1538975636
Physical Therapist
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Albemarle, NC
- NPI 1336543495
Physical Therapist
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1184281107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3222 S 1940 E",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841063920",
"telephone_number": "781-635-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 W 4700 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841293454",
"telephone_number": "801-840-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINSON",
"first_name": "SHANNON",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "UT",
"license": "11281885-2401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11281885-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.