Shannon Dawn Hestor, ATC, LAT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

RT007852 Issued in PA

Practice address

660 S 11TH St
Indiana, PA 17705

Phone

(717) 991-3283

NPI assigned

Jun 6, 2022

Last updated

Jun 7, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1669101770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE LN APT 813",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012128",
            "telephone_number": "717-991-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 11TH ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "17705",
            "telephone_number": "717-991-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTOR",
        "first_name": "SHANNON",
        "middle_name": "DAWN",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "RT007852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Henry
• Zachary Herbaugh
• David C Hernandez
• Arden Claire Hershey, LMT
• Ryan M Hestilow, BA
• Melanie Hetrick, PHARM D
• Caitlyn Hill
• Carey Ann Hill
• Jeremy Robert Hill
• Whitney Nichole Hill, CRNP

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Indiana, PA
• Providers in Indiana, PA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.