Tommie J Williamson Shappley

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT1986 Issued in MS

Practice address

48 Pleasant Pond Loop
Hattiesburg, MS 39402-8253

Phone

(601) 408-9546

NPI assigned

Jul 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• TJ Shappley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shappley Pediatric Therapy LLC

  • Physical Therapy Clinic/Center
  • Hattiesburg, MS
  • NPI 1629746995
  NPD (past)

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1891007522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PLEASANT POND LOOP",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028253",
            "telephone_number": "601-408-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 PLEASANT POND LOOP",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028253",
            "telephone_number": "601-408-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON SHAPPLEY",
        "first_name": "TOMMIE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1986",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MS",
            "license": "PT1986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TJ",
            "last_name": "SHAPPLEY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rodrick Dashone Williams, LPC
• Stephen Williams, AU.D.
• Summer Williams, IDD WAIVER SERVICES
• Tracy Lee Williams, D.M.D.
• Yvette Andrea Williams, DPP LIFESTYLE COACH
• Adrianna Williamson, CNP
• Anna Williamson, FNP
• Ashley Renee Williamson, FNP-C
• Brandon Matthew Williamson, D.C.
• Sammy Williamson

• Pediatric Physical Therapist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Pediatric Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.