Shannon T. Hazelrigg, P.T.
Individual provider Active NPI Physical Therapist · Ripley, OH
NPI 1346345535 · NPPES record last updated Jan 11, 2019
Key facts
- NPI
- 1346345535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT11301 (OH)
- Practice address
- 5280 US Highway 62 and 68
Ripley, OH 45167-4516 - Phone
- (937) 392-4318
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT11301 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT11301 | OH | Yes |
Addresses
Primary practice location
5280 US Highway 62 and 68
Ripley, OH 45167-4516
Mailing address
5026 Chinquapin Lane
Mayslick, KY 41055
Phone (606) 375-2516
Other practice location 1
7810 5 Mile Rd
Cincinnati, OH 45230-2356
Phone (513) 232-1253
Other providers in Ripley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.