Individual provider Active NPI

Shannon M Craig, DPT

  • Physical Therapist
  • Springboro, OH
National Provider Identifier
1669860920
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015149 Issued in OH
Practice address
325 N Main St
Suite 100
Springboro, OH 45066-8005
Phone
(937) 806-0318
Fax
(937) 806-0319
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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 015149 OH Primary

Addresses

Primary practice location

325 N Main St
Suite 100
Springboro, OH 45066-8005

Mailing address

5347 Carefree CT
Cincinnati, OH 45238-4718
Phone (513) 257-1984

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150216000746 OH Practitioner - Physical Therapist in Private Practice 5092030080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015149OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Sep 1, 2022 Accepting new patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Jan 26, 2015 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

2587 Commons Blvd
Ste 120
Beavercreek, OH 45431
Phone (937) 426-5555

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

5050 E Galbraith Rd
Ste A
Cincinnati, OH 45236
Phone (513) 376-9571

8073 Washington Village Dr
Ste 110
Dayton, OH 45458
Phone (937) 938-8380

4400 Indian Ripple Rd
Dayton, OH 45440
Phone (937) 741-2880

7819 Waynetowne Blvd
Huber Heights, OH 45424
Phone (937) 938-1583

1077 State Route 28
Ste 105
Milford, OH 45150
Phone (513) 653-2888

325 N Main St
Ste 100
Springboro, OH 45066
Phone (937) 806-0318

2355 W Main St
Troy, OH 45373
Phone (937) 703-9001

720 Elm St
Ste C
Wilmington, OH 45177
Phone (937) 283-2186

Organizations & group practices 3

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": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1669860920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5347 CAREFREE CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384718",
            "telephone_number": "513-257-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N MAIN ST",
            "address_2": "SUITE 100",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668005",
            "telephone_number": "937-806-0318",
            "fax_number": "937-806-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "015149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.