Individual provider Active NPI

Shanon Marie Fronek, PT, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1356759831
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT32297 Issued in AZ
Practice address
2560 E Fort Lowell Rd
Tucson, AZ 85716-1514
Phone
(520) 323-9086
Fax
(520) 323-6364
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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 LPT32297 AZ Primary

Addresses

Primary practice location

2560 E Fort Lowell Rd
Tucson, AZ 85716-1514

Mailing address

1106 Walnut St Ste 110
San Luis Obispo, CA 93401-2416
Phone (805) 788-0805

Other practice location 1

101 S La Canada Dr Ste 35
Green Valley, AZ 85614-2663
Phone (520) 365-0750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220405001244 AZ Practitioner - Physical Therapist in Private Practice 8729200613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

7400 N Dobson Rd
Suite 103
Scottsdale, AZ 85256-2769
Phone (602) 613-9133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT32297AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Nov 22, 2024 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Nov 25, 2024 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Nov 22, 2024 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Athlon Physical Therapy, LLC Physical Therapist PastSince Nov 23, 2022 Accepting new patients

Locations

20770 W Market St
Ste 106
Buckeye, AZ 85396
Phone (623) 278-7520

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

126 E Main St
Ste C
Payson, AZ 85541
Phone (928) 468-8907

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

25101 N Lake Pleasant Pkwy
Ste B1340
Peoria, AZ 85383
Phone (602) 610-6866

1661 E Camelback Rd
Ste 152
Phoenix, AZ 85016
Phone (602) 955-8885

20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

20851 E Rittenhouse Rd
Ste E103
Queen Creek, AZ 85142
Phone (480) 677-2800

33777 N Scottsdale Rd
Ste 110
Scottsdale, AZ 85266
Phone (480) 595-2824

7400 N Dobson Rd
Ste 103
Scottsdale, AZ 85256
Phone (602) 613-9133

10503 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351
Phone (623) 537-9730

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1356759831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST STE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161514",
            "telephone_number": "520-323-9086",
            "fax_number": "520-323-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S La Canada Dr Ste 35",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856142663",
            "country_code": "US",
            "telephone_number": "520-365-0750",
            "fax_number": "520-441-1465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRONEK",
        "first_name": "SHANON",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2022-11-22",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT32297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.