Shannon Mahoney

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9858 Issued in OR

Practice address

8810 SE Sunnybrook Blvd Ste 100
Clackamas, OR 97015-6805

Phone

(503) 607-2226

NPI assigned

Jul 17, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Gateway Sports Medicine & Rehabilitation PC

  • Physical Therapist
  • Portland, OR
  • NPI 1972698892
  NPD
• Pivot Health Acupuncture

  • Acupuncturist
  • Clackamas, OR
  • NPI 1184040255
  NPD
• Walton Physical Therapy & Sports Medicine Inc

  • Rehabilitation Clinic/Center
  • Durham, OR
  • NPI 1871717611
  NPD (past)

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1194333906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 SE SUNNYBROOK BLVD STE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156805",
            "telephone_number": "503-607-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 SE SUNNYBROOK BLVD STE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156805",
            "telephone_number": "503-607-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10915 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972163348",
            "country_code": "US",
            "telephone_number": "503-261-1120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17400 SW Upper Boones Ferry Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972247097",
            "country_code": "US",
            "telephone_number": "503-455-8663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6172 Bonita Rd # Aptb101",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970353178",
            "country_code": "US",
            "telephone_number": "503-358-2644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "9858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "clackamas@prnpt.com",
            "affiliation": "N",
            "endpointDescription": "clinic email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "8810 SE Sunnybrook Blvd Ste 100",
            "city": "Clackamas",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970156805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cody Macmillan, M.D.
• Kristy Ann Maffit-Schluter, PHARMD
• Leanna Wendy Mah, M.D.
• Robert Scott Mahan, M.D.
• Katelin Maher
• Angela Koon Major, RD
• Waseem Makhoul, MD
• Mike Malachi
• Omar S Malik, MD
• Jasjot Mann, D.D.S

• Physical Therapy Assistant in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.