Individual provider Active NPI

Alison Shannon-Lier

  • Physical Therapist
  • Livingston, MT
National Provider Identifier
1225420086
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8275 Issued in MT
Practice address
315 S Main St
Livingston, MT 59047-3416
Phone
(406) 222-4682
NPI assigned
Mar 3, 2015
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8275 MT Primary

Addresses

Primary practice location

315 S Main St
Livingston, MT 59047-3416

Mailing address

613 Nova Dr
Livingston, MT 59047-1540
Phone (617) 459-1885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170207000158 MT Practitioner - Physical Therapist in Private Practice 6901189554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite Sports MedicineGroup PAC ID 0042472516, 3 clinicians

Practice addresses (Care Compare)

315 S Main St
Livingston, MT 59047-3416
Phone (406) 222-4682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8275MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Granite Sports Medicine CurrentSince Aug 9, 2016 Accepting new patients

Locations

315 S Main St
Livingston, MT 59047
Phone (406) 222-4682

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1225420086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 NOVA DR",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590471540",
            "telephone_number": "617-459-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MAIN ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590473416",
            "telephone_number": "406-222-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON-LIER",
        "first_name": "ALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "8275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.

Verify at the official NPI Registry.