Shane Andrew McKeon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP062259T Issued in NC

Practice address

109 WNC Shopping Ctr
Black Mountain, NC 28711-2532

Phone

(828) 357-9050

Fax

(828) 357-9051

NPI assigned

Sep 10, 2025

Last updated

Oct 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8462/brand/1/csg/1/fhir/r4

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.

• Ati Holdings, LLC

  dba ATI Physical Therapy

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050

  PA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • King of Prussia, PA
  • NPI 1750194460

  Physical Therapist

  NPD
• Charles J. Depaolo, M.D, P.a.

  • Specialist
  • Asheville, NC
  • NPI 1861547085
  NPD (past)
• Southeastern Physical Therapy, LLC

  • Physical Therapist
  • Asheville, NC
  • NPI 1699791129
  NPD (past)

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1891676441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 NEW LEICESTER HWY STE 130",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062060",
            "telephone_number": "828-412-5120",
            "fax_number": "828-412-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WNC SHOPPING CTR",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112532",
            "telephone_number": "828-357-9050",
            "fax_number": "828-357-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Westridge Market Pl",
            "address_purpose": "LOCATION",
            "city": "Candler",
            "state": "NC",
            "postal_code": "287159174",
            "country_code": "US",
            "telephone_number": "828-633-6287",
            "fax_number": "828-633-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 Brevard Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287049647",
            "country_code": "US",
            "telephone_number": "828-203-2603",
            "fax_number": "828-203-2814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Weaver Village Way",
            "address_purpose": "LOCATION",
            "city": "Weaverville",
            "state": "NC",
            "postal_code": "287879492",
            "country_code": "US",
            "telephone_number": "828-484-9415",
            "fax_number": "828-484-9478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Crossroad Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NC",
            "postal_code": "287163703",
            "country_code": "US",
            "telephone_number": "828-492-1480",
            "fax_number": "828-492-1481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1356 Charlotte Hwy",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "NC",
            "postal_code": "287308798",
            "country_code": "US",
            "telephone_number": "828-338-0707",
            "fax_number": "828-338-0708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Valley View Ter",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "NC",
            "postal_code": "287864548",
            "country_code": "US",
            "telephone_number": "828-246-6566",
            "fax_number": "828-246-6567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Charlotte St Ste 50",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288012434",
            "country_code": "US",
            "telephone_number": "828-785-1412",
            "fax_number": "828-785-1413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "SHANE",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-10",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033657",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP062259T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Maxson
• Mark McClatchy, L.AC.
• Sydney Michelle McCoy, DPT, PT
• Patricia Dean McDermott, LMBT
• Kathryn Mae McGowan, MSPAS, PA-C
• Michelle Heather McKinzie, LCSW
• Troy McNeill, R.PH.
• Amanda Faye Meade, DDS
• Katherine Edwards Milam, LDO LICENSED DISPENS
• Mission Medical Associates, Inc. (Mission Adult Medicine at Biltmore)

• Physical Therapist in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.