Individual provider Active NPI

Shannon Barrett, PT, DPT

  • Physical Therapist
  • Flagstaff, AZ
National Provider Identifier
1851112502
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14184156-2401 Issued in UT
Practice address
525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845
Phone
(928) 773-2280
NPI assigned
Oct 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14184156-2401 UT Primary

Addresses

Primary practice location

525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845

Mailing address

9225 N Sugar Foot Dr
Tucson, AZ 85743-5206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219001940 AZ Practitioner - Physical Therapist in Private Practice 4183151814 Reassigns benefits to 1 organization
Practice locations: Flagstaff, AZ

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flagstaff Center for Bone and Joint DisordersGroup PAC ID 3072411180, 28 clinicians

Practice addresses (Care Compare)

525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845
Phone (928) 773-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14184156-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flagstaff Center for Bone and Joint Disorders CurrentSince Dec 16, 2024 Accepting new patients

Locations

525 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 773-2280

Interoperability endpoints

  • Direct secure messaging: shannon.barrett.1@15940.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1851112502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 N SUGAR FOOT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857435206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N SWITZER CANYON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014845",
            "telephone_number": "928-773-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "SHANNON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "14184156-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.