Shannon D Wolverton, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH8935 Issued in AL

Practice address

3532 Vann Rd Ste 102
Birmingham, AL 35235-3263

Phone

(205) 508-3415

Fax

(205) 508-3418

NPI assigned

May 11, 2016

Last updated

Nov 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Downing Former name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A.C.T. Physical Therapy. LLC

  • Physical Therapist
  • Hoover, AL
  • NPI 1326133463
  Medicare reassignment NPD
• Fox Rehab PT Al LLC

  • Physical Therapist
  • Huntsville, AL
  • NPI 1962128488
  Medicare reassignment NPD
• Radius PT of Alabama LLC

  • Physical Therapy Clinic/Center
  • Trussville, AL
  • NPI 1124790480

  Physical Therapist

  Medicare reassignment NPD
• Wolverton Wellness, LLC

  • Home Health Agency
  • Trussville, AL
  • NPI 1184489957
  NPD Authorized official
• Legacy Physical Therapy Partners

  • Physical Therapist
  • Trussville, AL
  • NPI 1811658016
  NPD

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1417303249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 VANN RD STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353263",
            "telephone_number": "205-508-3415",
            "fax_number": "205-508-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 VANN RD STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353263",
            "telephone_number": "205-508-3415",
            "fax_number": "205-508-3418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7270 Gadsden Hwy # 104-108",
            "address_purpose": "LOCATION",
            "city": "Trussville",
            "state": "AL",
            "postal_code": "351732640",
            "country_code": "US",
            "telephone_number": "659-444-1193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2208 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Moody",
            "state": "AL",
            "postal_code": "350043241",
            "country_code": "US",
            "telephone_number": "855-583-3537",
            "fax_number": "855-966-4087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLVERTON",
        "first_name": "SHANNON",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "301379",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "DOWNING",
            "credential": "MOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Edwyn Wolff, MD
• Julie A Wolfson, M.D.
• Melissa Pennington Wollitz, CRNA
• Ronit Wollstein, MD
• Andrew Wolverton, P.T.
• Christopher Martin Womack, CRNA
• Kiara Womack
• Women's Comprehensive Healthcare LLC
• Womens Care Specialists PC
• Womens Health Specialists of Birmingham Inc

• Physical Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.