Shannon Lynne Cleveland, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT#007480 Issued in GA

Practice address

414 Long Shore Way
Newnan, GA 30265-6115

Phone

(404) 513-6635

Fax

(678) 248-9006

NPI assigned

Aug 25, 2009

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA

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 and National Provider Directory roles.

• Human Performance and Rehabilitation Centers, LLC

  • Physical Therapist
  • Columbus, GA
  • NPI 1104415983

  Orthopedic

  Medicare reassignment NPD
• Human Performance and Rehabilitation Centers LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbus, GA
  • NPI 1891583654
  NPD
• Human Performance and Rehabilitation Centers, LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbus, GA
  • NPI 1376135707
  NPD

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1184857096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CHATEAU DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144751",
            "telephone_number": "404-513-6635",
            "fax_number": "678-248-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 LONG SHORE WAY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656115",
            "telephone_number": "404-513-6635",
            "fax_number": "678-248-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "SHANNON",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT#007480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin T. Cleary, M.D.
• Cleland Periodontics, PC
• Clerk Surgical Assisting Services
• Clerk Surgical Assisting Services
• Walter Lee Clerk, CFA
• Bonnie Paige Clough
• Carter Co, M.D.
• Coastal Home Care, LLC
• Alberta Cobb Turner
• Catharine Cochran Cofer, LMFT

• Orthopedic Physical Therapist in Newnan, GA
• Providers in Newnan, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.