Shannon Newman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1159323 Issued in TX

Practice address

1702 Hunters TRL
Friendswood, TX 77546

Phone

(713) 816-6331

NPI assigned

Jan 24, 2023

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Clark Former name

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.

• Adaptive Rehabilitation Clinics, LLC

  • Physical Therapist
  • Niles, OH
  • NPI 1568085579
  NPD (past)

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1740996651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 HUNTERS TRL",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775461710",
            "telephone_number": "346-516-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 HUNTERS TRL",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "77546",
            "telephone_number": "713-816-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "SHANNON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1159323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CLARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige Ellison Neumeyer, LCSW
• New Beginnings, LLC
• New River Counseling PLLC
• New World Innovative Business and Health Solutions (New World Innovtive Business Solutions)
• Michelle Porter Newman, PHARM.D., R.PH.
• Annette Kessler Newsom, OTR
• Alyson Leon Nguyen, DDS
• David Vinh Nguyen, O.D.
• Samantha Nguyen
• Thuy Hang Nguyen, DDS

• Physical Therapist in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.