Shannon E Hauser, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00018370 Issued in FL

Practice address

1285 36TH Street
Suite 102
Vero Beach, FL 32960-6587

Phone

(772) 794-1234

Fax

(772) 794-7890

NPI assigned

Jul 31, 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 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back in Form Physical Therapy Inc.Group PAC ID 5496929820, 5 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.

• Back in Form Physical Therapy Inc.

  • Physical Therapist
  • Vero Beach, FL
  • NPI 1518247873
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1508871963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 36TH STREET",
            "address_2": "SUITE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606587",
            "telephone_number": "772-794-1234",
            "fax_number": "772-794-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 36TH STREET",
            "address_2": "SUITE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606587",
            "telephone_number": "772-794-1234",
            "fax_number": "772-794-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "SHANNON",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT00018370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y8173",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K1110",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Hatala, MSW
• Homer Paul Hatten Jr., MD
• Philippa J Hauger, CNM
• Bernadette Helen Haugh, P.T.
• Michael F Hauser, PT
• Chandra Michelle Hawkins-Jewett
• April N Hayes, BS
• Derick Hayhurst, H.A.S.
• Ellen Marie Hazel, CRNA
• Jacob Henry Hazellief, PA-C

• Physical Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.