Shannon L Juneau, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04722 Issued in LA

Practice address

11131 N Terrell Ave
Gonzales, LA 70737-7876

Phone

(225) 644-8731

NPI assigned

Jun 4, 2009

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

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Physical Therapy Limited PartnershipGroup PAC ID 0446651178, 19 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Peak Performance Physical Therapy Limited Partnership

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1770166886

  LA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Peak Performance Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
  • NPI 1376117069
  NPD
• Peak Performance Physical Therapy and Fitness, LLC

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1912931437
  NPD (past)

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1457587487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11131 N TERRELL AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707377876",
            "telephone_number": "225-644-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11131 N TERRELL AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707377876",
            "telephone_number": "225-644-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEAU",
        "first_name": "SHANNON",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey on the Bayou
• Joy Medical Supplies
• Joy Rehab Corp
• Lisa King Judice, R.PH.
• Paula Denise Julian, APRN, FNP-C
• Just Health
• Just Health
• Mydhili Kanumilli, M.D
• Paige Kelley Kassan
• Haytham Kawji, MD

• All providers in Gonzales, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.