Shannon Kathleen Rambone, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017080 Issued in PA

Practice address

116 W 11TH St
Honesdale, PA 18431-1902

Phone

(570) 489-6781

NPI assigned

Jun 3, 2006

Last updated

Jan 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Kathleen Campion Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elmtree Wellness Center IncGroup PAC ID 4486939022, 14 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elmtree Wellness Center, Inc.

  • Physical Therapy Clinic/Center
  • Hawley, PA
  • NPI 1497293518
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1881632743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BRYANT RD",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314052",
            "telephone_number": "570-470-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 11TH ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311902",
            "telephone_number": "570-489-6781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184311104",
            "country_code": "US",
            "telephone_number": "570-203-1377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMBONE",
        "first_name": "SHANNON",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "017080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CAMPION",
            "middle_name": "KATHLEEN",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynn Potter, RD, LDN
• Krina Ennis Pratt, P.T.
• Allyson Pretty-Hopkins
• Proctor and Proctor PC
• Professional Emergency Care, PC
• Steven S Reggie, DC
• David Dewitt Reynolds, M.D.
• Jeffrey Mark Richards, PT
• Melissa Lee Rickard, NP
• Sibyl Jane Rickard, M.D.

• Physical Therapist in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.