Shawna Lea Shockey, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P11019 Issued in NC

Practice address

3015 Enterprise Dr
Wilmington, NC 28405-2116

Phone

(877) 787-3430

NPI assigned

Mar 27, 2007

Last updated

May 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy Kare, Inc

  • Pediatric Physical Therapist
  • Wilmington, NC
  • NPI 1639486558

  Single Specialty

  NPD (past)
• Funworks Pediatric Therapy

  • Early Intervention Provider Agency
  • South Point, OH
  • NPI 1275984114
  NPD (past)
• Mobile Therapy Services

  • Physical Therapist
  • Grayson, KY
  • NPI 1689865966

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1619095346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 OLEANDER DR STE A4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034749",
            "telephone_number": "910-392-2240",
            "fax_number": "910-392-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 ENTERPRISE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052116",
            "telephone_number": "877-787-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5725 Oleander Dr Ste A4",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034749",
            "country_code": "US",
            "telephone_number": "910-392-2240",
            "fax_number": "910-392-2242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCKEY",
        "first_name": "SHAWNA",
        "middle_name": "LEA",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003960",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11019",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OH",
            "license": "009103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Gillies Shirk, RBT
• Julia Ann Shirley, PT
• Brian Charles Shiro, MD
• Tiffany W Shivar, LCSWA
• Nadine Shivers, FNP-C
• Kayla Shockley
• -Deborah Marvene Shoemaker, MAAT-ATR-BC,LPC
• William David Shoemaker, M.D.
• Cori Jenson Shope, PHARMD
• Shoreline Physical Therapy, LLC (Shoreline Physical Therapy)

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.