Shanna Phillips, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-004614 Issued in KY

Practice address

550 US Highway 62 W
Princeton, KY 42445-2435

Phone

(270) 365-0300

NPI assigned

Jun 21, 2005

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

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIDFCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caldwell County Hospital, Inc

  • Physician Assistant
  • Princeton, KY
  • NPI 1891207460

  KY, Physical Therapist

  Medicare reassignment NPD
• Caldwell County Hospital, Inc

  • Occupational Medicine Physician
  • Princeton, KY
  • NPI 1780688333

  Physical Therapist

  NPD
• Caldwell County Hospital, Inc.

  • Rural Health Clinic/Center
  • Eddyville, KY
  • NPI 1780464826
  NPD
• Biokinetics Inc.

  • Physical Therapist
  • Calvert City, KY
  • NPI 1447264916
  NPD (past)
• Biokinetics, Inc

  • Physical Therapy Clinic/Center
  • Calvert City, KY
  • NPI 1528184470
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1962408336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 US HIGHWAY 62 W",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424452435",
            "telephone_number": "270-365-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 US HIGHWAY 62 W",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424452435",
            "telephone_number": "270-365-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SHANNA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-014046",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT-004614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennyrile District Health Department
• Pennyrile District Lhealth Department
• Pennyroyal Healthcare Services, Inc
• Perry Family Medical PLLC
• Sue Ellen Petty, MD
• Rebecca Sue Porter
• Primaricare, PLLC
• Princeton Family Care, PLLC
• Princeton Health & Rehab Center, Inc.
• Princeton Ky Opco LLC

• All providers in Princeton, KY
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.