Shannon J Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000005471 Issued in TN

Practice address

502 6TH St
Newport, TN 37821-3725

Phone

(423) 237-8889

NPI assigned

May 9, 2007

Last updated

Jun 17, 2020By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marpe Physio Wellness LLC

  • Physical Therapist
  • Newport, TN
  • NPI 1134745920
  NPD Authorized official
• Compwhiz International LLC

  dba St. Luke's Therapy Services

  • Physical Therapy Clinic/Center
  • Morristown, TN
  • NPI 1255332581

  Physical Therapist

  NPD (past)
• East Tennessee Comprehensive Rehabilitation Center Inc

  • Physical Therapist
  • Morristown, TN
  • NPI 1568537363
  NPD (past)
• Hamblen Therapy Associates, Inc

  • Physical Therapist
  • Morristown, TN
  • NPI 1174578728
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1679787964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 6TH ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213725",
            "telephone_number": "423-237-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 6TH ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213725",
            "telephone_number": "423-237-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000005471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3650038",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4156222",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Suzanne Singleton, FNP-BC
• Brittany Evelyn Sletterink, PHARMD
• Maxwell Thomas Smith, PHARMD.
• Sarah Althea Smith, DPT
• Seth Adam Smith, D.M.D.
• Steven Fuller Smith, DDS
• Toni Micah Smith
• Smoky Mountain Home Health & Hospice, Inc
• Smoky Mountain Home Health & Hospice, Inc
• Anne Marie Smoot

• Physical Therapist in Newport, TN
• Providers in Newport, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.