Individual provider Active NPI

Shannon C Dunlap, PT

  • Physical Therapist
  • Hendersonville, NC
National Provider Identifier
1245318112
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9430 Issued in NC
Practice address
538 N Oak St
Hendersonville, NC 28739-4126
Phone
(828) 692-1176
Fax
(828) 692-2109
NPI assigned
Nov 1, 2006
Last updated
Mar 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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 9430 NC Primary

Addresses

Primary practice location

538 N Oak St
Hendersonville, NC 28739-4126

Mailing address

538 N Oak St
Hendersonville, NC 28739-4126
Phone (828) 692-1176

Other identifiers 1

IdentifierTypeStateIssuer
7211720MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000112 NC Practitioner - Physical Therapist in Private Practice 6406896083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stepping Stone Rehab, Inc.Group PAC ID 0042103988, 2 clinicians

Practice addresses (Care Compare)

538 N Oak St
Hendersonville, NC 28739-4126
Phone (828) 692-1176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9430NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stone Rehab, Inc. CurrentSince Mar 19, 2013 Accepting new patients

Locations

538 N Oak St
Hendersonville, NC 28739
Phone (828) 692-1176

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1245318112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 N OAK ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394126",
            "telephone_number": "828-692-1176",
            "fax_number": "828-692-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 N OAK ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394126",
            "telephone_number": "828-692-1176",
            "fax_number": "828-692-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "SHANNON",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211720",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.