Cameron S Shannon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4519 Issued in AR

Practice address

2504 McCain Blvd Ste 230
North Little Rock, AR 72116-7607

Phone

(501) 758-5555

Fax

(501) 758-5941

NPI assigned

Aug 13, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aptc of North Little Rock, IncGroup PAC ID 1850298217, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aptc of North Little Rock, Inc

  • Physical Therapist
  • North Little Rock, AR
  • NPI 1346245842
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1861971509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 MCCAIN BLVD STE 230",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167607",
            "telephone_number": "501-758-5555",
            "fax_number": "501-758-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 MCCAIN BLVD STE 230",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167607",
            "telephone_number": "501-758-5555",
            "fax_number": "501-758-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "CAMERON",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyal Jatin Shah, M.D.
• Syed Saqib Ali Shah, MD
• Jamie Sue Shahan, CRNA
• Reza Shahim, MD
• Christine Ann Shain, APRN
• Nathan Michael Sharfman
• Jessica Sharp
• Robert Haley Shaw, MD
• Kristen J Shealy, MD
• Ryan Clinton Shearer, DDS

• Physical Therapist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.