Shelly Ann Bussell, PTA
Individual provider Active NPI Physical Therapy Assistant · Southside, AL
NPI 1427273127 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1427273127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA2216 (GA)
- Practice address
- 1399 Moriah LN
Southside, AL 35907-0750 - Phone
- (865) 368-0894
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA1511 | FL | MD | Physical Therapy Assistant |
| PTA2216 | GA | MD | Physical Therapy Assistant |
| PTA3453 | TN | MD | Physical Therapy Assistant |
| 2060707 | TX | MD | Physical Therapy Assistant |
| PTA555 | WY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA3453 | TN | |
| Physical Therapy Assistant | 225200000X | 2060707 | TX | |
| Physical Therapy Assistant | 225200000X | PTA555 | WY | |
| Physical Therapy Assistant | 225200000X | PTA1511 | FL | |
| Physical Therapy Assistant | 225200000X | PTA2216 | GA | Yes |
Addresses
Primary practice location
1399 Moriah LN
Southside, AL 35907-0750
Mailing address
1399 Moriah LN
Southside, AL 35907-0750
Phone (865) 368-0894
Other names
- Shelly Ann Rikansrud
Other providers in Southside, AL
- Kenneth Oneil Barker II
- Behavioral Healing, LLC
- Boggs Ventures, LLC
- Kara Rasberry Brooks
- Brett Bryant
- Clinical Compounding Solutions
- Coosa Behavioral Services
- Kelli Kilgro Cornelius
- Lindsay K Davis
- Alesia Kay Dunlap
All providers in Southside, AL · Physical Therapy Assistant in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.