Individual provider Active NPI

Shannon Lloyd, PT, DPT

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1689978181
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013247 Issued in GA
Practice address
123 Talbot Rd
Savannah, GA 31410-4015
Phone
(912) 484-0940
NPI assigned
Dec 27, 2010
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9096 TN
Physical Therapist 225100000X 005821 KY
Physical Therapist 225100000X PT013247 GA Primary

Addresses

Primary practice location

123 Talbot Rd
Savannah, GA 31410-4015

Mailing address

123 Talbot Rd
Savannah, GA 31410-4015
Phone (912) 484-0940

Other practice location 1

161 Hatcher Ln
Clarksville, TN 37040
Phone (931) 542-2168

Other identifiers 1

IdentifierTypeStateIssuer
003199814DMedicaidGA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9096TNMDInternal Medicine Physician
PT013247GAMDPhysical Therapist
005821KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outside the Box Pediatric Therapy Solutions CurrentSince Feb 14, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1689978181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 TALBOT RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314104015",
            "telephone_number": "912-484-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 TALBOT RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314104015",
            "telephone_number": "912-484-0940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Hatcher Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "37040",
            "country_code": "US",
            "telephone_number": "931-542-2168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "SHANNON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9096",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005821",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003199814D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.