Individual provider Active NPI

Shannon M Marshall, PT

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1942281555
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0008132 Issued in CO
Practice address
7821 W 38TH Ave Ste 101
Wheat Ridge, CO 80033-6185
Phone
(303) 330-0010
Fax
(303) 388-8990
NPI assigned
Nov 10, 2005
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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 PTL.0008132 CO Primary

Addresses

Primary practice location

7821 W 38TH Ave Ste 101
Wheat Ridge, CO 80033-6185

Mailing address

3277 S Lincoln St
Englewood, CO 80113-2512
Phone (720) 274-0341

Other practice location 1

3401 Quebec St Ste 3100
Denver, CO 80207-2325
Phone (303) 330-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141024001988 CO Practitioner - Physical Therapist in Private Practice 0042431587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7821 W 38TH Ave
Suite 101
Wheat Ridge, CO 80033-6185
Phone (303) 955-8091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Motion Physical Therapy PC Physical Therapist CurrentSince May 3, 2022 Accepting new patients
Back to Motion Physical Therapy PC Physical Therapist CurrentSince May 3, 2022 Accepting new patients

Locations

600 N Grant St
Ste 208
Denver, CO 80203
Phone (303) 832-5577

7821 W 38th Ave
Ste 101
Wheat Ridge, CO 80033
Phone (303) 330-0010

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1942281555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 S LINCOLN ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132512",
            "telephone_number": "720-274-0341",
            "fax_number": "303-388-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7821 W 38TH AVE STE 101",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336185",
            "telephone_number": "303-330-0010",
            "fax_number": "303-388-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Quebec St Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802072325",
            "country_code": "US",
            "telephone_number": "303-330-0011",
            "fax_number": "303-388-8990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0008132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.