Individual provider Active NPI

Shannon E Flint

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1861015026
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3258 Issued in NE
Practice address
2510 S 140TH St
Omaha, NE 68144-2339
Phone
(026) 183-3204
Fax
(402) 913-3102
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 096767 IA
Physical Therapist 225100000X 3258 NE Primary

Addresses

Primary practice location

2510 S 140TH St
Omaha, NE 68144-2339

Mailing address

11634 Farnam St
Omaha, NE 68154-3131
Phone (402) 201-8099

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
096767IAMDPhysical Therapist
3258NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Pelvic Therapy Physical Therapist CurrentSince Mar 11, 2025 Accepting new patients

Locations

2510 S 140th St
Omaha, NE 68144
Phone (402) 618-3320

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1861015026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11634 FARNAM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543131",
            "telephone_number": "402-201-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S 140TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442339",
            "telephone_number": "026-183-3204",
            "fax_number": "402-913-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT",
        "first_name": "SHANNON",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "096767",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.