Shannon Elaine Brady Conerty, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13068 Issued in TN

Practice address

115 Stewarts Ferry Pike
Nashville, TN 37214-2917

Phone

(615) 231-7300

NPI assigned

Oct 29, 2020

Last updated

Apr 11, 2023By the provider in NPPES

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 Elaine Brady Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1326648213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 OLD ANDERSON RD UNIT 305",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131027",
            "telephone_number": "615-424-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STEWARTS FERRY PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142917",
            "telephone_number": "615-231-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 N Water Ave",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370662306",
            "country_code": "US",
            "telephone_number": "615-452-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONERTY",
        "first_name": "SHANNON",
        "middle_name": "ELAINE BRADY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "BRADY",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Concertocare Medical Group of Tennessee, PC
• Concord Care LLC
• Kristin Condurelis
• Cecil Wayne Cone II, M.D.
• Rachel Cone, FNP-BC
• Adrienne Krebs Conger, M.D.
• Colleen Mary Conklin, MA, LPC-MHSP
• Rachel W Conklin, MMS, PA-C
• Brian Conley
• Heather Dawn Conley, NP

• Physical Therapist in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.