Shannon Marie Stevens, M. S. P. T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2570 Issued in NM

Practice address

722 E Florida St/PO Bx1518
Deming, NM 88030-5310

Phone

(505) 546-2555

Fax

(505) 546-2725

NPI assigned

Oct 12, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NM

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

Summit Rehabilitation LLC 2 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.

• Summit Rehabilitation LLC

  • Physical Therapist
  • Deming, NM
  • NPI 1477542041

  NM, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Recovery Management Center, PC

  • Addiction (Substance Use Disorder) Counselor
  • Silver City, NM
  • NPI 1942534664
  NPD (past)
• Stevens Chiropractic Center LLC

  • Chiropractor
  • Deming, NM
  • NPI 1306835970
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1497844732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 E FLORIDA ST/PO BX1518",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880305310",
            "telephone_number": "505-546-2555",
            "fax_number": "505-546-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 E FLORIDA ST/PO BX1518",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880305310",
            "telephone_number": "505-546-2555",
            "fax_number": "505-546-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M. S. P. T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "23693",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "73559",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM01Q136",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57831271",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra Srader, RN
• St Martin de Porres Eye Clinic PC
• Brian A Stanton, MD
• Kathryn Dianne Stephens, LPCC
• Stevens Chiropractic Center LLC
• Mickie Lynn Stimpson, LBSW
• Summit Healthcare LLC
• Summit Rehabilitation LLC
• Summits Healthcare, LLC
• Catherine L Tanner

• All providers in Deming, NM
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.