Active NPI
Shannon E Sutton, DPT
- Physical Therapist
- Mechanicsburg, PA
National Provider Identifier
1861949075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025348
- Practice address
- 5108 E Trindle Rd
Suite 200
Mechanicsburg, PA 17050-3300 - Phone
- (717) 790-9920
- Fax
- (717) 790-9923
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT025348 | PA | Primary |
Addresses
Primary practice location
5108 E Trindle Rd
Suite 200
Mechanicsburg, PA 17050-3300
Mailing address
5300 Derry St
2ND Floor
Harrisburg, PA 17111-3576
Phone (717) 839-2110
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT025348 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1861949075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 DERRY ST",
"address_2": "2ND FLOOR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113576",
"telephone_number": "717-839-2110",
"fax_number": "717-565-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 E TRINDLE RD",
"address_2": "SUITE 200",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170503300",
"telephone_number": "717-790-9920",
"fax_number": "717-790-9923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "SHANNON",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.