Timothy M. Shannon, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT 19887 Issued in FL

Practice address

4801 S Congress Ave
Suite 301
Lake Worth, FL 33461-4746

Phone

(561) 967-6500

Fax

(561) 963-5600

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Florida Orthopaedics and Sports Medicine, PAGroup PAC ID 6406838895, 70 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• South Florida Orthopaedics & Sports Medicine, PA

  • Orthopaedic Surgery Physician
  • Stuart, FL
  • NPI 1841253374
  Medicare reassignment Care Compare group NPD
• South Florida Orthopaedics & Sports Medicine, PA

  • Durable Medical Equipment & Medical Supplies
  • Port St Lucie, FL
  • NPI 1609763440
  NPD
• Orthopedic Center of Palm Beach County, LLC

  • Specialist
  • Atlantis, FL
  • NPI 1114079738
  NPD (past)
• Orthopedic Center of Palm Beach County, LLC

  • Orthopaedic Surgery Physician
  • Atlantis, FL
  • NPI 1164963252
  NPD (past)
• South Florida Orthopaedics & Sports Medicine,PA

  • Durable Medical Equipment & Medical Supplies
  • Stuart, FL
  • NPI 1639220700
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801832597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVE",
            "address_2": "SUITE 301",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "561-967-6500",
            "fax_number": "561-963-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVE",
            "address_2": "SUITE 301",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "561-967-6500",
            "fax_number": "561-963-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "TIMOTHY",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT 19887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Service Pain Healing Labra Inc
• Shannen Marie Seversen, PA-C
• SFM Surgery V LLC
• Nirmala Shanmugam, MD
• Erin S Shannon, OD
• Michael Shapiro
• Share Love & Care LLC
• Ranjita Sharma, PH.D LMFT
• Nina Simone Sharpton
• Amanda Shaw, MASSAGE THERAPIST

• Specialist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Specialist in Florida

• 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.
• 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.

Verify at the official NPI Registry.