Shannon R Greenlaw, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60222356 Issued in WA

Practice address

1215 N McDonald Rd
Suite L2
Spokane Valley, WA 99216-1557

Phone

(509) 893-4462

Fax

(509) 893-4482

NPI assigned

Nov 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1952602203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N MCDONALD RD",
            "address_2": "SUITE L2",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161557",
            "telephone_number": "509-893-4462",
            "fax_number": "509-893-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N MCDONALD RD",
            "address_2": "SUITE L2",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161557",
            "telephone_number": "509-893-4462",
            "fax_number": "509-893-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLAW",
        "first_name": "SHANNON",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60222356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT317136",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny L Green, LMP
• Greenacres Residential Care , LLC
• Travis Mark Greene, PHYSICAL THERAPIST
• Shealyn Greenhalgh
• Grant Lee Greenhall
• Everett D Greenup, PHARM D
• Leslie Marie Gregg
• David M Grewe
• Heather Rhea Gridley, MD
• Natalie Ann Griff, RN

• Physical Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.