Active NPI
Shannon Price Smith, P.T.
- Physical Therapist
- Dahlonega, GA
National Provider Identifier
1407055692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009085
- Practice address
- 155 Sunset Dr Ste 102
Physical Therapy Department
Dahlonega, GA 30533 - Phone
- (706) 974-9242
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009085 | GA | Primary |
Addresses
Primary practice location
155 Sunset Dr Ste 102
Physical Therapy Department
Dahlonega, GA 30533
Mailing address
155 Sunset Dr Ste 102
Physical Therapy Department
Dahlonega, GA 30533
Phone (706) 974-9242
Other names 1
- Shannon Leigh Price
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009085 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Physical Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Learn and Go Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Dublin, GA
- NPI 1093336786
Physical Therapist
-
- Physical Therapist
- Dublin, GA
- NPI 1619458163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1407055692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 SUNSET DR STE 102",
"address_2": "PHYSICAL THERAPY DEPARTMENT",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "30533",
"telephone_number": "706-974-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 SUNSET DR STE 102",
"address_2": "PHYSICAL THERAPY DEPARTMENT",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "30533",
"telephone_number": "706-974-9242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHANNON",
"middle_name": "PRICE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "PRICE",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.