Shanon River Holdings Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT6160 Issued in FL

Legal business name

SHANON RIVER HOLDINGS INC

Doing business as

Shanon River Rehab

Practice address

137 Birchmont Dr
Deland, FL 32724-8851

Phone

(954) 600-9836

Fax

(386) 775-9835

NPI assigned

Aug 26, 2009

Last updated

Aug 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill A Rubin, P.T.NPI 1679619530

Title

President

Phone

(954) 600-9836

Specialties & licenses 1

Addresses

Other names 1

• Shanon River Rehab Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill Amy Rubin, P.T.

  • Physical Therapist
  • Deland, FL
  • NPI 1679619530
  Authorized official Same address or phone
• Mavis Bryant, OTR/LMT

  • Occupational Therapist
  • Deltona, FL
  • NPI 1578880928
  NPD (past)

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1811120702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BIRCHMONT DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327248851",
            "telephone_number": "954-600-9836",
            "fax_number": "386-775-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 BIRCHMONT DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327248851",
            "telephone_number": "954-600-9836",
            "fax_number": "386-775-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANON RIVER HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-600-9836",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT6160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shanon River Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serenity Wellness and Family Practice LLC
• Patricia Session
• Charley Jean Sessoms
• Nasrin Shaikh
• Brad Alan Shallow, DC
• Mohan L Sharma, MD
• Karen Lynn Sharpe
• Michael Edward Sharpe
• SHC Rehab, LLC (Bodymax Physical Therapy)
• Jill Lynn Sheldon, LCSW

• Physical Therapy Clinic/Center in Deland, FL
• Providers in Deland, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.