Individual provider Active NPI

Janet Muth Shannon, PT

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1770737637
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0008223 Issued in FL
Practice address
6238 Presidential CT
Suite #1a
Fort Myers, FL 33919-3581
Phone
(239) 337-1064
Fax
(239) 337-1065
NPI assigned
Nov 5, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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 PT0008223 FL Primary

Addresses

Primary practice location

6238 Presidential CT
Suite #1a
Fort Myers, FL 33919-3581

Mailing address

6238 Presidential CT
Suite #1a
Fort Myers, FL 33919-3581
Phone (239) 337-1064

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
PT0008223FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Homecaring Florida, Inc Past Accepting new patients
A I T Home Health Inc 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, 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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1770737637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6238 PRESIDENTIAL CT",
            "address_2": "SUITE #1A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193581",
            "telephone_number": "239-337-1064",
            "fax_number": "239-337-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 PRESIDENTIAL CT",
            "address_2": "SUITE #1A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193581",
            "telephone_number": "239-337-1064",
            "fax_number": "239-337-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "JANET",
        "middle_name": "MUTH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0008223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.