Shannon Snow, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 8825 Issued in CO

Practice address

3525 Spaulding Ave
Pueblo, CO 81008-2208

Phone

(719) 347-9309

Fax

(719) 347-9311

NPI assigned

May 17, 2006

Last updated

Dec 27, 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

Other names 1

• Miss Shannon Hartman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Southern Colorado Clinic PC

  • Clinic/Center
  • Pueblo, CO
  • NPI 1285613554
  NPD
• Pueblo Rehab & Orthopedic Therapy LLC

  dba PRO Therapy

  • Physical Therapist
  • Pueblo, CO
  • NPI 1245212711
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1508818428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 SPAULDING AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082208",
            "telephone_number": "719-347-9309",
            "fax_number": "719-347-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 SPAULDING AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082208",
            "telephone_number": "719-347-9309",
            "fax_number": "719-347-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT 8825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HARTMAN",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Michael Smith, M.D.
• Russell Smith
• Tara Smith, BS
• Teneisha Smith
• Deborah Snell
• Jennifer Snyder
• So-Co Property Maintenance LLC
• Soco Ophthalmology LLC (SoCo Eye Specialists)
• Soco Primary Care Clinic
• Zoe D Soderstrom, COTA/L

• Physical Therapist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.