Active NPI
Shelby Sowden, PTA
- Physical Therapy Assistant
- Lewisburg, TN
National Provider Identifier
1619768256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 7966
- Practice address
- 712 N Ellington Pkwy Ste 6
Lewisburg, TN 37091-2454 - Phone
- (931) 982-5702
- NPI assigned
- May 14, 2025
- 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 | 7966 | TN | Primary |
Addresses
Primary practice location
712 N Ellington Pkwy Ste 6
Lewisburg, TN 37091-2454
Mailing address
712 N Ellington Pkwy Ste 6
Lewisburg, TN 37091-2454
Phone (931) 982-5702
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 |
|---|---|---|---|
| 7966 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1619768256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 N ELLINGTON PKWY STE 6",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370912454",
"telephone_number": "931-982-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 N ELLINGTON PKWY STE 6",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370912454",
"telephone_number": "931-982-5702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWDEN",
"first_name": "SHELBY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "7966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, TN
- Todd C Smith, DC
- Jonathan Reid Snavely, DC
- Nageh Soliman
- South Medical Clinic LLC
- Southern Smiles PLLC
- State of Tennessee (Marshall County Health Department)
- Hayley L Steely
- Sterling Emergency Services of the Midwest, Inc (Ellington Emergency Department Services)
- Taylor Nichole Sullivan
- Zeldra Kanisha Swaggerty
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.