Shannon Runion

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1148772 Issued in TX

Practice address

28604 Interstate 10 W
Suite 4
Boerne, TX 78006-9142

Phone

(830) 431-0773

NPI assigned

Mar 12, 2015

Last updated

Mar 12, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bloom Physical Therapy & Wellness PLLC

  • Physical Therapy Clinic/Center
  • Boerne, TX
  • NPI 1730784281
  NPD Authorized official

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1336532506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28604 INTERSTATE 10 W",
            "address_2": "SUITE 4",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069142",
            "telephone_number": "830-431-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28604 INTERSTATE 10 W",
            "address_2": "SUITE 4",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069142",
            "telephone_number": "830-431-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNION",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1148772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Maas' Youth Alternatives, Inc.
• Dianne M Rudolph, NP
• Aimee Elizabeth Ruiz
• Melanie Fulton Ruiz, NP
• Vivian Elizabeth Rule, PT
• Michael Ryan, MSN, APRN, FNP-C
• William John Ryan, MD
• Sujey Saavedra, LVN
• Anna M Saenz, MA, CCC-SLP
• Sahyouni Integrative Health, PLLC

• Physical Therapist in Boerne, TX
• Providers in Boerne, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.