Shauna Phillips, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2114199 Issued in TX

Practice address

800 College Pkwy
Lewisville, TX 75077-3503

Phone

(972) 420-8543

NPI assigned

Jul 29, 2015

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

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1255716478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 CEDAR SPRINGS RD UNIT 8A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191278",
            "telephone_number": "469-450-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COLLEGE PKWY",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750773503",
            "telephone_number": "972-420-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SHAUNA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2114199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gibi Philip
• Justin Philip, DMD
• Sindhu E Philip, DO
• Ron Philipose, FNP
• Phillip F Sehnert DDS PA
• Physician's Homecare, Inc
• Stacy J Pitre
• Pivotal Moments Counseling Center, PLLC
• Thomas E Piwonka, M.D.
• Brenda Jo Place

• Physical Therapy Assistant in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.