Individual provider Active NPI

Shannon Davock Trzil, OTR/L

  • Specialist
  • Memphis, TN
National Provider Identifier
1588860704
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT3772 Issued in TN
Practice address
5118 Park Ave
Suite 106
Memphis, TN 38117-5720
Phone
(901) 761-4263
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OT3772 TN Primary

Addresses

Primary practice location

5118 Park Ave
Suite 106
Memphis, TN 38117-5720

Mailing address

2108 Prestwick Dr
Germantown, TN 38139-3456
Phone (901) 754-8919

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3772TNMDOptometrist
OT3772TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Hand Center, Inc Past Accepting new patients
Memphis Orthopaedic Group PC Past Accepting new patients
MSK Group PC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1588860704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 PRESTWICK DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393456",
            "telephone_number": "901-754-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 PARK AVE",
            "address_2": "SUITE 106",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175720",
            "telephone_number": "901-761-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZIL",
        "first_name": "SHANNON",
        "middle_name": "DAVOCK",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "OT3772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.