Shannon Marie Jones, MSPT, CEAS

Individual provider Active NPI Ergonomics Physical Therapist · Gretna, VA

NPI 1861474629 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1861474629
Entity type
Individual (NPI type 1)
Primary specialty
Ergonomics Physical Therapist 2251E1200X
License
2305006205 (VA)
Practice address
1220 W Gretna Rd
Gretna, VA 24557-4087
Phone
(434) 656-8535
Fax
(434) 656-9345
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2305006205VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hussey & Lawson Therapies, Inc Physical Therapist Past Accepting new patients
Therapy Direct Physical Therapist Past Accepting new patients
Arizonas Choice Home Health Agency, LLC Past
since Oct 9, 2017
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305006205 VA
Ergonomics Physical Therapist 2251E1200X 2305006205 VA Yes

Addresses

Primary practice location

1220 W Gretna Rd
Gretna, VA 24557-4087

Mailing address

1070 Mountain Run Rd
Cascade, VA 24069-2307
Phone (434) 685-5328

Other identifiers

IdentifierTypeStateIssuer
105282OtherVAANTHEM - BCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1861474629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 MOUNTAIN RUN RD",
            "city": "CASCADE",
            "state": "VA",
            "postal_code": "240692307",
            "telephone_number": "434-685-5328",
            "fax_number": "434-685-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W GRETNA RD",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245574087",
            "telephone_number": "434-656-8535",
            "fax_number": "434-656-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSPT, CEAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006205",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "VA",
            "license": "2305006205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - BCBS",
            "identifier": "105282",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, VA

All providers in Gretna, VA · Ergonomics Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.