Active NPI
Shannon Laing, P.T.
- Physical Therapist
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2094
- Practice address
- 1909 N Highway 17 Ste Q
Mt Pleasant, SC 29464-7460 - Phone
- (843) 416-9026
- NPI assigned
- Mar 8, 2006
- Last updated
- Jul 21, 2022
- 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 | 2094 | SC | Primary |
Addresses
Primary practice location
1909 N Highway 17 Ste Q
Mt Pleasant, SC 29464-7460
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4990
Phone (630) 296-2222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 861168971 | Other | SC | EMPLOYER ID# |
| 2094 | Other | SC | PT LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2760 Tricom St
North Charleston, SC 29406-9169
Phone (843) 300-8585
9100 Medcom St
North Charleston, SC 29406-9167
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2094 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| South Carolina Sports Medicine & Orthopaedic Center | Current | Accepting new patients | |
| Providence Orthopaedic Group LLC | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33299 Collection Ctr Dr
Chicago, IL 60693
1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495
1909 N Highway 17
Ste Q
Mt Pleasant, SC 29464
Phone (843) 416-9026
586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880
2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585
9100 Medcom St
North Charleston, SC 29406
Phone (843) 569-3367
9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140
Interoperability endpoints
- https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4
- shannon.laing.1@1516.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- N Charleston, SC
- NPI 1922111715
-
- Physical Therapist
- Charleston, SC
- NPI 1912378365
-
dba Ati Physical Therapy
- Durable Medical Equipment & Medical Supplies
- North Charleston, SC
- NPI 1689405664
Physical Therapist
-
dba Moore Orthopaedic Clinic
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1255308342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780652636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404990",
"telephone_number": "630-296-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 N HIGHWAY 17 STE Q",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294647460",
"telephone_number": "843-416-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAING",
"first_name": "SHANNON",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "2094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER ID#",
"identifier": "861168971",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE #",
"identifier": "2094",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.