Individual provider Active NPI

Shannon Kathleen Munley, MPT

  • Physical Therapist
  • Lancaster, PA
National Provider Identifier
1962766675
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030864 Issued in NY
Practice address
617 N Prince St # a
Lancaster, PA 17603-4769
Phone
(717) 390-4822
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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 030864 NY Primary

Addresses

Primary practice location

617 N Prince St # a
Lancaster, PA 17603-4769

Mailing address

617 N Prince St # a
Lancaster, PA 17603-4769

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170203001955 PA Practitioner - Physical Therapist in Private Practice 2466698360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact PhysioGroup PAC ID 1557501228, 5 clinicians

Practice addresses (Care Compare)

239 Northern Blvd
South Abington Township, PA 18411-9302
Phone (570) 319-6903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030864NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physio Physical Therapist CurrentSince Jan 14, 2025 Accepting new patients
Prana Functional Manual Therapy, LLC Physical Therapist CurrentSince Jan 1, 2017 Accepting new patients
Prana Physical Therapy, LLC PastSince Jan 1, 2017 Accepting new patients

Locations

617 N Prince St
#A
Lancaster, PA 17603
Phone (717) 390-4822

239 Northern Blvd
Ste 5
South Abington Township, PA 18411
Phone (570) 319-6903

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1962766675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N PRINCE ST # A",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N PRINCE ST # A",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034769",
            "telephone_number": "717-390-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNLEY",
        "first_name": "SHANNON",
        "middle_name": "KATHLEEN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.