Brenda Elizabeth Shunn, LPT, RMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT1045847 Issued in TX

Practice address

2111 Dickson Dr Ste 22
Austin, TX 78704-4788

Phone

(512) 707-7688

NPI assigned

Sep 6, 2006

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.

• Brenda Elizabeth Shunn

  • Physical Therapist
  • Austin, TX
  • NPI 1275825739
  NPD (past) Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1619070935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 DICKSON DR STE 22",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044788",
            "telephone_number": "512-707-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 DICKSON DR STE 22",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044788",
            "telephone_number": "512-707-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUNN",
        "first_name": "BRENDA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LPT, RMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "PT1045847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "659260",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sheila Shung, M.D.
• Sharon Shuppert, M.S., L.AC.
• Kaleigh Shuster, MA, CCC-SLP
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• Si Lithotripsy LLC
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• Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.