Individual provider Active NPI

Shannon H Allen, PT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1962573717
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4099 Issued in AL
Practice address
165 Whitesport Dr SW Ste 2
Huntsville, AL 35801-7427
Phone
(256) 713-1872
Fax
(256) 713-1873
NPI assigned
Nov 13, 2006
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 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 PTH4099 AL Primary

Addresses

Primary practice location

165 Whitesport Dr SW Ste 2
Huntsville, AL 35801-7427

Mailing address

1267 Enterprise Way NW Ste 150
Huntsville, AL 35806-4472
Phone (256) 713-1872

Other identifiers 2

IdentifierTypeStateIssuer
051546004OtherALBCBS
051546005OtherALBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000596 AL Practitioner - Physical Therapist in Private Practice 8921166422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH4099ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nesin Therapy Services, P.C. CurrentSince Sep 1, 2008 Accepting new patients

Locations

1267 Enterprise Way NW
#B
Huntsville, AL 35806
Phone (256) 713-1872

1267 Enterprise Way NW
Ste B
Huntsville, AL 35806
Phone (256) 489-3760

165 Whitesport Dr SW
Ste 2
Huntsville, AL 35801
Phone (256) 425-0300

540 Hughes Rd
Ste 8
Madison, AL 35758
Phone (256) 461-9654

Organizations & group practices 1

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1962573717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 ENTERPRISE WAY NW STE 150",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064472",
            "telephone_number": "256-713-1872",
            "fax_number": "256-713-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WHITESPORT DR SW STE 2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017427",
            "telephone_number": "256-713-1872",
            "fax_number": "256-713-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SHANNON",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051546004",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051546005",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.