Active NPI
Shannon Dannenfelser, MPT
- Physical Therapist
- Nottingham, MD
National Provider Identifier
1245244938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21190
- Practice address
- 8114 Sandpiper Cir
Suite 114
Nottingham, MD 21236-4934 - Phone
- (410) 933-8459
- Fax
- (410) 933-8712
- NPI assigned
- Jul 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21190 | MD | Primary |
Addresses
Primary practice location
8114 Sandpiper Cir
Suite 114
Nottingham, MD 21236-4934
Mailing address
8114 Sandpiper Cir
Suite 114
Nottingham, MD 21236-4934
Phone (410) 933-8459
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245244938 | Other | CHAMPUST | |
| 11779850 | Other | CAQH | |
| 5070-0047 | Other | CAREFIRST | |
| 3503195000 | Other | AMERIHEALTH | |
| 88760514 | Other | NCA | |
| 3503195000 | Other | IBC AMERIHEALTH |
Other names 1
- Shannon Nelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1245244938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8114 SANDPIPER CIR",
"address_2": "SUITE 114",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364934",
"telephone_number": "410-933-8459",
"fax_number": "410-933-8712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8114 SANDPIPER CIR",
"address_2": "SUITE 114",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364934",
"telephone_number": "410-933-8459",
"fax_number": "410-933-8712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANNENFELSER",
"first_name": "SHANNON",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUST",
"identifier": "1245244938",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11779850",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "5070-0047",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "3503195000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCA",
"identifier": "88760514",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC AMERIHEALTH",
"identifier": "3503195000",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "NELSON",
"credential": "MPT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.