Individual provider Active NPI

Shannon Lee Cawley, PT

  • Physical Therapist
  • Scranton, PA
National Provider Identifier
1922266980
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009804L Issued in PA
Practice address
5 Morgan Hwy
Suite 4
Scranton, PA 18508-2641
Phone
(570) 344-3788
Fax
(570) 969-9280
NPI assigned
May 27, 2008
Last updated
Jun 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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 PT009804L PA Primary

Addresses

Primary practice location

5 Morgan Hwy
Suite 4
Scranton, PA 18508-2641

Mailing address

5 Morgan Hwy
Suite 4
Scranton, PA 18508-2641
Phone (570) 344-3788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000387 PA Practitioner - Physical Therapist in Private Practice 0143394189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5 Morgan Hwy
Suite 4
Scranton, PA 18508-2641
Phone (570) 344-3788

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009804LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Rehabilitation Associates, PC CurrentSince Apr 13, 2015 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist PastSince Jun 1, 2017 Accepting new patients

Locations

5 Morgan Hwy
Ste 4
Scranton, PA 18508
Phone (570) 344-3788

Interoperability endpoints

  • Direct secure messaging: scawley@nerehab.medentdirect.com

Organizations & group practices 2

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1922266980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MORGAN HWY",
            "address_2": "SUITE 4",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082641",
            "telephone_number": "570-344-3788",
            "fax_number": "570-969-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MORGAN HWY",
            "address_2": "SUITE 4",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082641",
            "telephone_number": "570-344-3788",
            "fax_number": "570-969-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAWLEY",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009804L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.