Shannon Gayle Brown

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT028553 Issued in PA

Practice address

3075 Enterprise Dr
State College, PA 16801-3241

Phone

(814) 308-8482

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Allen Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Atlas Therapy Inc.

  • Physical Therapist
  • State College, PA
  • NPI 1962715359
  NPD

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1801484845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 PINE CIR",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168232547",
            "telephone_number": "814-460-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 ENTERPRISE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168013241",
            "telephone_number": "814-308-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHANNON",
        "middle_name": "GAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David J. Brown, PH.D.
• Dustin Edward Brown, O.D.
• Karen Leigh Brown, MD
• Michele Marie Brown
• Morgan T Brown, PA-C
• Sydney Brown, MPT
• Jake Ryan Browning
• Barbara Newman Brugler, LMT
• Robert Baxter Brugler, DDS
• Brummert Family Chiropractic, LLC

• Physical Therapist in State College, PA
• Providers in State College, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.