Shannon Thompson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE1004370 Issued in PA

Practice address

1300 Oxford Dr
Bethel Park, PA 15102-1896

Phone

(412) 851-8550

Fax

(412) 851-8855

NPI assigned

Oct 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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.

• Core Network, LLC

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1871551028

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1639629926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 OXFORD DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021896",
            "telephone_number": "412-851-8550",
            "fax_number": "412-851-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OXFORD DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021896",
            "telephone_number": "412-851-8550",
            "fax_number": "412-851-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SHANNON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1004370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.thompson@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure UPMC direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1300 Oxford Dr",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151021896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Antoinette Thalman, CRNP
• The Physical Therapy Center Inc
• Theodore R. Sames, Jr., O.D.
• Therapy Works LLC
• Tiffany Thomas
• Three Rivers Ambulance LLC
• Thrift Drug Inc
• Tiffany Dental
• Walter Thomas Tillman III, B.C.O.
• Raymond V. Tomb, DMD

• Physical Therapy Assistant in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.