Individual provider Active NPI

Shannon Taylor Boyd, P.T.

  • Physical Therapist
  • Denison, TX
National Provider Identifier
1346543659
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1191251 Issued in TX
Practice address
88 R L Franks Rd
Denison, TX 75021-7144
Phone
(903) 227-7654
NPI assigned
Dec 8, 2010
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1191251 TX Primary

Addresses

Primary practice location

88 R L Franks Rd
Denison, TX 75021-7144

Mailing address

88 R L Franks Rd
Denison, TX 75021-7144
Phone (903) 227-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4643OKMDPhysical Medicine & Rehabilitation Physician
1191251TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2015 Accepting new patients
Restore Wellness LLC Physical Therapist CurrentSince Mar 28, 2023 Accepting new patients
All Care Hospice, LLC PastSince Mar 28, 2023 Accepting new patients
Therapy in Motion of Oklahoma LLC Physical Therapist PastSince Dec 1, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3515 W FM 120
Ste 103
Denison, TX 75020
Phone (903) 337-1362

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1346543659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 R L FRANKS RD",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750217144",
            "telephone_number": "903-227-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 R L FRANKS RD",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750217144",
            "telephone_number": "903-227-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SHANNON",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1191251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.