Shanna A Jimerson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6112 Issued in MS

Practice address

1720A Medical Park Dr Ste 210
Biloxi, MS 39532-2122

Phone

(228) 230-2663

NPI assigned

Feb 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Shanna A Painter Former name

Medicare fee-for-service enrollment

Enrolled in MS, VI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bienville Therapy, LLCGroup PAC ID 1254878325, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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.

• Bienville Therapy, LLC

  • Physical Therapist
  • Vancleave, MS
  • NPI 1720844392
  Medicare reassignment Care Compare group NPD
• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Vancleave, MS
  • NPI 1689605834
  Medicare reassignment NPD
• Dynamic Rehabilitation Services LLC

  • Physical Therapist
  • Diberville, MS
  • NPI 1194102434
  Medicare reassignment NPD
• Cog Restore, LLC

  • Rehabilitation Clinic/Center
  • St Thomas, VI
  • NPI 1194108761

  Physical Therapist

  Medicare reassignment NPD
• Bienville Therapy, LLC

  • Physical Therapist
  • Gulfport, MS
  • NPI 1477319051
  NPD
• Bienville Therapy, LLC

  • Physical Therapist
  • Pascagoula, MS
  • NPI 1932965522
  NPD
• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Grand Bay, AL
  • NPI 1659269454
  NPD
• Shoals Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Florence, AL
  • NPI 1619013422

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1891092722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD STE 301",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656771",
            "telephone_number": "228-203-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR STE 210",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322122",
            "telephone_number": "228-230-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMERSON",
        "first_name": "SHANNA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3331",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6346",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "PAINTER",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bonnie M Jenkins, NURSE PRACTITIONER
• Taylor Morgan Jenkins, PHARM-D
• Rachel Jennings, PHARMD
• Dean Larry Jensen Sr., CMHT
• Austin Alex Jenson, DPT
• Robert Lance Johansen, M.D.
• John H Miller MD PC
• John Walli NPC
• Ashley Johnson, PA
• Ashley Taylor Johnson, CRNA

• Physical Therapist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.