Individual provider Active NPI

Shannon Pentony, RPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1750407748
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1799 Issued in NV
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Peak Condition LLC Physical Therapist PastSince Nov 15, 2004 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.

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.

Verify at the official NPI Registry.