Active NPI
Shannon M O'Toole, PT
- Physical Therapist
- West Columbia, SC
National Provider Identifier
1659502854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6005
- Practice address
- 132B Sunset Court
West Columbia, SC 29169 - Phone
- (803) 796-5116
- Fax
- (803) 796-5131
- NPI assigned
- Aug 5, 2009
- Last updated
- Sep 22, 2009
- 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 Therapist | 225100000X | PT6005 | SC | Primary |
Addresses
Primary practice location
132B Sunset Court
West Columbia, SC 29169
Mailing address
551 Riverhill Cir
# 921
Columbia, SC 29210-8156
Phone (636) 795-3693
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6005 | SC | MD | Physical Therapist |
| 6005 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc of South Carolina | Physical Therapist | Past | Accepting new patients |
| Carolina Therapy Solutions, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Lexington, SC
- NPI 1386073302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1659502854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 RIVERHILL CIR",
"address_2": "# 921",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292108156",
"telephone_number": "636-795-3693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132B SUNSET COURT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "803-796-5116",
"fax_number": "803-796-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'TOOLE",
"first_name": "SHANNON",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-05",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT6005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.