Shannon McIvor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3261 Issued in AR

Practice address

5532 JFK Blvd
North Little Rock, AR 72116-6708

Phone

(501) 588-3211

NPI assigned

Oct 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Allied Therapy and Consulting Services, PA

  • Specialist
  • North Little Rock, AR
  • NPI 1134185937
  NPD (past)

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1598075426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 JFK BLVD APT 227",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCIVOR",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183417721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiana McGoy, M.S., CCC-SLP
• Kristen Tennille McGrew, ED.D, LPC, NCC
• Anna McIlveene, MS CCC-SLP
• Heidy Johanna McIndoe
• Sherry G McIntosh, APRN
• Scotty McKay
• Richard Erin McKelvey, M.D.
• Charlie McKenzie
• Kayla McKinney, MS, CCC-SLP
• Kamilah McKinnon, PHARM.D.

• All providers in North Little Rock, AR
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.