Individual provider Active NPI

Shannon Compton, DPT

  • Physical Therapist
  • Salem, OR
National Provider Identifier
1659863892
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63118 Issued in OR
Practice address
3270 Liberty Rd S
Salem, OR 97302
Phone
(503) 371-0779
Fax
(503) 371-0886
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 63118 OR Primary

Addresses

Primary practice location

3270 Liberty Rd S
Salem, OR 97302

Mailing address

3270 Liberty Rd S
Salem, OR 97302
Phone (503) 371-0779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228002731 OR Practitioner - Physical Therapist in Private Practice 5698023471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HD EnterprisesGroup PAC ID 7810374048, 13 clinicians

Practice addresses (Care Compare)

123 SW Columbia St
Suite 100
Bend, OR 97702-3609
Phone (541) 241-3061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42761CAMDGeneral Practice Dentistry
63118ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Physical Therapy, PC CurrentSince Nov 17, 2020 Accepting new patients
HD Enterprises Physical Therapist CurrentSince Apr 22, 2022 Accepting new patients
Sarah Peterson LCSW LLC CurrentSince May 24, 2022 Accepting new patients
Gertler & Gertler P.C. PastSince Apr 22, 2022 Accepting new patients
Kern Infusion Services Inc PastSince Jun 11, 2018 Accepting new patients

Locations

1012 SW Emkay Dr
Bend, OR 97702
Phone (541) 241-3061

147 SW Shevlin Hixon Dr
#1
Bend, OR 97702
Phone (541) 312-2252

147 SW Shevlin Hixon Dr
Ste 104
Bend, OR 97702
Phone (541) 312-2252

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1659863892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-371-0779",
            "fax_number": "503-371-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-371-0779",
            "fax_number": "503-371-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.