Shannon M Reardon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005743 Issued in OH

Practice address

715 S Taft Ave
Fremont, OH 43420-3200

Phone

(419) 332-7321

Fax

(419) 334-6673

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Ohio State University College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Services Rehabilitation IncGroup PAC ID 2567487887, 20 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• P.T. Services Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Wellington, OH
  • NPI 1972505576
  Medicare reassignment Care Compare group NPD
• P T Services Rehabilitation Inc

  • Occupational Therapy Assistant
  • Tiffin, OH
  • NPI 1003289174
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497854103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 WILLIAMS DR",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203632",
            "telephone_number": "419-447-7203",
            "fax_number": "419-447-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S TAFT AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203200",
            "telephone_number": "419-332-7321",
            "fax_number": "419-334-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "005743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ann Rando
• Anthony Roy Rando Sr.
• Deborah S Ransbottom, OT
• Dottie Rapp, OTA
• Briana Lynn Rauch, FNP, NP-C
• John Thomas Reineck, DSS
• Stacy Pasch Rellinger, OD
• Jeffrey Remaklus
• Kristyn Nicole Reser, NP-C
• Jeffrey Rhoades

• Physical Therapist in Fremont, OH
• Providers in Fremont, OH by specialty
• Physical Therapist in Ohio

• 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.
• 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.