Shannon Ballinger, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

11803306-2401 Issued in UT

Practice address

1470 400 W
Salt Lake City, UT 84115

Phone

(206) 930-8971

NPI assigned

Oct 22, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Harrison Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1396344198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 S ELGIN HILL CT # 8",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841064549",
            "telephone_number": "206-930-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 400 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84115",
            "telephone_number": "206-930-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGER",
        "first_name": "SHANNON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "11803306-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HARRISON",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elliot Ballato, MD
• Mariella Ballato, DPT
• Diana Ballesteros
• Magdiel Ballesteros
• Barbara Sue Balliette
• Carol Ann Ballou, PHD
• Nathan Balls
• Travis Balls
• Sydney Rebekah Dawson Ballstaedt, LCSW
• Maria Pia Balmaceda Nieto, MD

• Physical Therapy Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.