Active NPI
Shannon Lloyd, PT, DPT
- Physical Therapist
- Savannah, GA
National Provider Identifier
1689978181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013247
- Practice address
- 123 Talbot Rd
Savannah, GA 31410-4015 - Phone
- (912) 484-0940
- NPI assigned
- Dec 27, 2010
- Last updated
- Feb 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003199814D | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9096 | TN | MD | Internal Medicine Physician |
| PT013247 | GA | MD | Physical Therapist |
| 005821 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outside the Box Pediatric Therapy Solutions | Current | 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.
-
- Pediatric Physical Therapist
- Savannah, GA
- NPI 1336764869
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
- Living Process Counseling Services Co
- Edward Livingston, ATC-L/MS
- Lla Medical Broker Solutions (LLA Medical)
- Renee Llauget, D.O.
- Jessica Lloyd
- Lo Cost Healthcare, LLC (Lo Cost Pharmacy)
- Lo Cost Healthcare, LLC (Lo Cost Pharmacy LTC)
- Elimelech Lob, MS, LPC, NCC
- Nicholas Lobiondo, BCABA
- Madaleine Angela Lockwood, PHARMD
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.