Individual provider Active NPI

Shannon Nicole Haskett, PT

  • Physical Therapist
  • Sylva, NC
National Provider Identifier
1912914326
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P7518 Issued in NC
Practice address
90 E Main St # 1
Sylva, NC 28779-3030
Phone
(828) 550-3923
Fax
(828) 354-0209
NPI assigned
Aug 1, 2006
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P7518 NC Primary

Addresses

Primary practice location

90 E Main St # 1
Sylva, NC 28779-3030

Mailing address

90 E Main St # 1
Sylva, NC 28779-3030
Phone (828) 631-3009

Other identifiers 4

IdentifierTypeStateIssuer
B8850OtherNCMEDCOST
078M7OtherNCBCBS
7211855MedicaidNC
268717OtherNCMAMSI

Other names 1

  • Shannon Keiger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000011 NC Practitioner - Physical Therapist in Private Practice 3577733971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smoky Mountain Sports Medicine and Physical Therapy, Inc.Group PAC ID 6002180387, 15 clinicians

Practice addresses (Care Compare)

90 E Main St
Suite 1
Sylva, NC 28779-3030
Phone (828) 550-3923

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
100
Improvement activities
40
Cost
44.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy & Pain Center Inc Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Smoky Mountain Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
Custom Nutrition & Wellness LLC PastSince Oct 25, 2020 Accepting new patients

Locations

4 Market St
Ste 4103
Brevard, NC 28712
Phone (828) 342-7358

96 Macon Center Dr
Franklin, NC 28734
Phone (828) 369-9103

90 E Main St
#1
Sylva, NC 28779
Phone (828) 550-3923

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1912914326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST # 1",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287793030",
            "telephone_number": "828-631-3009",
            "fax_number": "828-354-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST # 1",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287793030",
            "telephone_number": "828-550-3923",
            "fax_number": "828-354-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKETT",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P7518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B8850",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "078M7",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211855",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "268717",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "KEIGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.