Shannon Loren Harris, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306602386 Issued in VA

Practice address

8111 Tis Well Dr
Alexandria, VA 22306-3211

Phone

(703) 360-4000

NPI assigned

Mar 20, 2007

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

Other names 1

• Shannon Loren Brown Former name

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1295850956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 CHASE COMMONS DR",
            "address_2": "APT. 305",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154615",
            "telephone_number": "240-273-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 TIS WELL DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063211",
            "telephone_number": "703-360-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHANNON",
        "middle_name": "LOREN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "BROWN",
            "middle_name": "LOREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clifton Lee Harris, DDS
• Lydia Harris, HOMECARE PROVIDER
• Mary Jane Harris, PT
• Megan Harris, CCC-SLP
• Robert Harris, PT, DPT
• Sofia Harris
• Stacey Harris
• Tamika Harris, IBCLC, RLC
• Harrison Horne Renauld Harrison Horne III
• Beth Blake Harrison, M.S., CCC-SLP

• Physical Therapy Assistant in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.