Active NPI
Shonta Monique Houston, ATC, PTA
- Athletic Trainer
- Hinesville, GA
National Provider Identifier
1821609835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT002562
- Practice address
- 110 Link St Apt 3L
Hinesville, GA 31313-4430 - Phone
- (478) 335-7488
- NPI assigned
- Aug 13, 2020
- Last updated
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA004442 | GA | |
| Athletic Trainer | 2255A2300X | AT002562 | GA | Primary |
Addresses
Primary practice location
110 Link St Apt 3L
Hinesville, GA 31313-4430
Mailing address
110 Link St Apt 3L
Hinesville, GA 31313-4430
Phone (478) 335-7488
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA004442 | GA | MD | Physical Therapy Assistant |
| AT002562 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1821609835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LINK ST APT 3L",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134430",
"telephone_number": "478-335-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LINK ST APT 3L",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134430",
"telephone_number": "478-335-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "SHONTA",
"middle_name": "MONIQUE",
"credential": "ATC, PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA004442",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT002562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinesville, GA
- Hospital Authority of Liberty County (Liberty Family Medicine)
- Hospital Authority of Liberty County (Liberty Regional Medical Center)
- Hospital Authority of Liberty County (Liberty Obstetrics & Gynecology)
- Hospital Authority of Liberty County (Liberty Surgical Associates)
- Shanta Vernice Houston
- Howard Family Dental-Hinesville, LLC
- Elizabeth Howard, RNC, IBCLC
- Retha Howard, WH-NP
- Dawn Celeste Howell, DAWN HOWELL
- Phoenix Howell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.