Active NPI
Shannon Pentony, RPT
- Physical Therapist
- Henderson, NV
National Provider Identifier
1750407748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1799
- Practice address
- 880 Seven Hills Dr
Suite 140
Henderson, NV 89052-4371 - Phone
- (702) 990-2290
- Fax
- (702) 937-8377
- NPI assigned
- Mar 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1799 | NV | Primary |
Addresses
Primary practice location
880 Seven Hills Dr
Suite 140
Henderson, NV 89052-4371
Mailing address
8724 Traveling Breeze Ave
Unit 103
Las Vegas, NV 89178-7711
Phone (702) 990-2290
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Condition LLC | Physical Therapist | Past | Accepting new patients |
| Peak Condition, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Las Vegas, NV
- NPI 1205810827
-
- Physical Therapist
- Las Vegas, NV
- NPI 1528194610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750407748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8724 TRAVELING BREEZE AVE",
"address_2": "UNIT 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891787711",
"telephone_number": "702-990-2290",
"fax_number": "702-932-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 SEVEN HILLS DR",
"address_2": "SUITE 140",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524371",
"telephone_number": "702-990-2290",
"fax_number": "702-937-8377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENTONY",
"first_name": "SHANNON",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.