Shannon A Lanskis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60559800 Issued in WA

Practice address

855 Aaron Dr
Lynden, WA 98264-9396

Phone

(360) 354-4434

NPI assigned

Jun 13, 2015

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

Other names 1

• Shannon A Reid Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434153600000",
    "number": "1194106344",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "435 ASH STREET",
            "address_2": "101",
            "city": "NEW WESTMINSTER",
            "state": "BRITISH COLUMBIA",
            "postal_code": "V3M3N2",
            "telephone_number": "604-379-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 AARON DR",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649396",
            "telephone_number": "360-354-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSKIS",
        "first_name": "SHANNON",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-13",
        "last_updated": "2015-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60559800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "REID",
            "middle_name": "A",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Kenneth Korthuis, DPT
• Marilyn R. Korver, PT
• Amber Michelle Kreiger, L.AC.
• Carol Kucel, PA-C
• Melodie Langstraat, PTA
• Colleen Virginia Lee, LMHC
• Junghee Lee, DC
• Jessica Lynn Libolt, L.M.P.
• Lori Faye Libolt, OTR,L/CHT
• Chen Wei Lin, PHARMD

• Physical Therapist in Lynden, WA
• Providers in Lynden, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2015; 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.