Individual provider Active NPI

Shannon Zalewski, PT

  • Physical Therapist
  • Auburn, WA
National Provider Identifier
1285034637
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60471503 Issued in WA
Practice address
1408 Lake Tapps Pkwy SE
Suite E 106
Auburn, WA 98092-8158
Phone
(253) 939-7179
Fax
(253) 939-7182
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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 PT60471503 WA Primary

Addresses

Primary practice location

1408 Lake Tapps Pkwy SE
Suite E 106
Auburn, WA 98092-8158

Mailing address

1408 Lake Tapps Pkwy SE
Suite E 106
Auburn, WA 98092-8158

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

State licenses

LicenseStateTypeSpecialty
PT60471503WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Physical Therapy & Sports Rehabilitation Inc PC Physical Therapist Past Accepting new patients
The Physical Therapy Clinics, Inc. Physical Therapist PastSince May 31, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1285034637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 LAKE TAPPS PKWY SE",
            "address_2": "SUITE E 106",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 LAKE TAPPS PKWY SE",
            "address_2": "SUITE E 106",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928158",
            "telephone_number": "253-939-7179",
            "fax_number": "253-939-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALEWSKI",
        "first_name": "SHANNON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60471503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.