Shanna Scott Thurman, MPT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

9255 Issued in NC

Practice address

5860 Yadkin Rd
Fayetteville, NC 28303-2668

Phone

(910) 988-6974

Fax

(910) 425-4956

NPI assigned

Feb 10, 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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Revolution Incorporated

  • Physical Therapist
  • Fayetteville, NC
  • NPI 1164921862

  Pediatrics

  Medicare reassignment NPD

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1528031275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 YADKIN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033255",
            "telephone_number": "910-988-6974",
            "fax_number": "910-425-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 YADKIN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032668",
            "telephone_number": "910-988-6974",
            "fax_number": "910-425-4956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Morganton Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283141564",
            "country_code": "US",
            "telephone_number": "910-748-0007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5310 Yadkin Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283033255",
            "country_code": "US",
            "telephone_number": "910-988-6974",
            "fax_number": "910-425-4956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "SHANNA",
        "middle_name": "SCOTT",
        "name_prefix": "Mrs.",
        "credential": "MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "9255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Counseling & Consulting PLLC
• Thrive Counseling & Consulting, PLLC
• Thrive Within Therapeutic Services, PLLC
• Thriving Therapy and Residential Services, PLLC
• Nishanth Anthony Reddy Thumma, MD
• Tremayne T Thurman, AS, MRS, OTR/L
• Elizabeth Tice, LCMHCA
• Akeemat O Tijani, RPH
• Moyo Bunmi Tillery, PT, DPT, FAAOMPT
• Nancy Rochelle Tillman, LCSWA

• Pediatric Physical Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.