Shannon Arthur Barker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7175 Issued in TN

Practice address

103 W Stone Dr
Kingsport, TN 37660-3220

Phone

(423) 224-5751

Fax

(423) 224-5776

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

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.

• Wellmont Medical Associates Inc

  • Pulmonary Disease Physician
  • Kingsport, TN
  • NPI 1780986257

  TN

  Medicare reassignment NPD
• Wellmont Medical Associates, Inc.

  • Urgent Care Clinic/Center
  • Gray, TN
  • NPI 1144770934
  NPD
• Wellmont Medical Associates, Inc.

  • Psychiatry Physician
  • Johnson City, TN
  • NPI 1275393522
  NPD

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1285757484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MERMAN RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633446",
            "telephone_number": "423-224-5751",
            "fax_number": "423-224-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603220",
            "telephone_number": "423-224-5751",
            "fax_number": "423-224-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "SHANNON",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Rene Bambarger, BS
• Bambino Inc Dba Comfort Keepers
• Alicia M Baptista, CCC-SLP
• Neha Barakam, M.D
• Sherwood Barefoot, M.D.
• Matt Powell Barkley, CRNA
• David R Barlow, LMFT
• John Rice Barnes Jr., DDS
• Dustin L Barrett, PA
• Kecia Rene Bartholomew, PHARMD

• All providers in Kingsport, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.