Shannon Elizabeth Smith, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

383 Issued in SC

Practice address

1075 Bayshore Dr
Rock Hill, SC 29732-1569

Phone

(803) 327-8655

Fax

(803) 327-8664

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Shavan, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Rock Hill, SC
  • NPI 1881196186
  NPD Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487770384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 DOVE TREE LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328731",
            "telephone_number": "803-324-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BAYSHORE DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321569",
            "telephone_number": "803-327-8655",
            "fax_number": "803-327-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamila Me'Shae Smith, MA
• Lauren S. Smith, DDS
• Marcia Smith, MPA, B.S, A.A.S
• Mark G Smith, DDS
• Rachel L. Smith, RBT
• Smooth Trip Transportation, LLC
• Maggie Snider, OTR/L
• Patricia Ann Snider, PHARMD
• Sharhonda Snipes
• Jennifer Snow, R.N.

• Physical Therapy Assistant in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.