Shannon L Parker, MPT
Individual provider Active NPI Physical Therapist · Osprey, FL
NPI 1306137534 · NPPES record last updated Jan 17, 2019
Key facts
- NPI
- 1306137534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 34082 (FL)
- Practice address
- 14021 Bellagio Way Unit 309
Osprey, FL 34229-2705 - Phone
- (256) 230-5382
- Fax
- (855) 232-8604
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sparker Physical Therapy and Wellness, LLC
Practice addresses (Care Compare)
5816 Millennium Silver CT
Sarasota, FL 34238-3521
Phone (256) 230-5382
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190208002295 | FL | Practitioner - Physical Therapist in Private Practice | 0648263301 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34082 | FL | MD | Physical Therapist |
| 12913 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparker Physical Therapy and Wellness LLC | Physical Therapist | Current |
Accepting new patients |
| Link Home Therapy Services of Florida LLC | Physical Therapist | Current |
Accepting new patients |
| Arc Therapy Services, LLC | Past |
Accepting new patients |
Locations
180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12913 | NC | |
| Physical Therapist | 225100000X | 34082 | FL | Yes |
Addresses
Primary practice location
14021 Bellagio Way Unit 309
Osprey, FL 34229-2705
Mailing address
14021 Bellagio Way Unit 309
Osprey, FL 34229-2705
Phone (256) 230-5382
Other providers in Osprey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.