Active NPI
Shannon Marie Potter-Knight, LPTA
- Physical Therapy Assistant
- Richmond Heights, OH
National Provider Identifier
1538284856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06131
- Practice address
- 3 Merit Dr
Richmond Heights, OH 44143-1457 - Phone
- (216) 261-9600
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06131 | OH | Primary |
Addresses
Primary practice location
3 Merit Dr
Richmond Heights, OH 44143-1457
Mailing address
5980 Marine Pkwy
Apt B-110
Mentor on the Lake, OH 44060-8518
Phone (440) 257-7569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06131 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538284856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5980 MARINE PKWY",
"address_2": "APT B-110",
"city": "MENTOR ON THE LAKE",
"state": "OH",
"postal_code": "440608518",
"telephone_number": "440-257-7569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MERIT DR",
"city": "RICHMOND HEIGHTS",
"state": "OH",
"postal_code": "441431457",
"telephone_number": "216-261-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER-KNIGHT",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "06131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Heights, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.