Individual provider Active NPI

Shannon Byerly, PT, DPT

  • Physical Therapist
  • Punxsutawney, PA
National Provider Identifier
1972011542
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026298 Issued in PA
Practice address
720 W Mahoning St Ste 100
Punxsutawney, PA 15767-1351
Phone
(814) 938-4447
NPI assigned
Jan 17, 2018
Last updated
Jan 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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 PT026298 PA Primary

Addresses

Primary practice location

720 W Mahoning St Ste 100
Punxsutawney, PA 15767-1351

Mailing address

111 Belmont Ave
Punxsutawney, PA 15767-1601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180412001558 PA Practitioner - Physical Therapist in Private Practice 5395008973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT026298PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Punxsutawney Area Hospital Inc CurrentSince Sep 8, 2025 Accepting new patients
Center for Orthopaedic and Sports Medicine PC CurrentSince Jan 23, 2018 Accepting new patients
Punxsutawney Area Hospital Inc Current Accepting new patients
Cosm Rehab Physical Therapist CurrentSince Jan 23, 2018 Accepting new patients
Punxsutawney Area Hospital Inc. CurrentSince Sep 8, 2025 Accepting new patients

Locations

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

120 Irmc Dr
Ste 160
Indiana, PA 15701
Phone (724) 357-7068

81 Hillcrest Dr
Ste 1400
Punxsutawney, PA 15767

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

720 W Mahoning St
Ste 100
Punxsutawney, PA 15767
Phone (724) 349-3290

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shannon.byerly.1@10717.direct.athenahealth.com

Organizations & group practices 5

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1972011542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BELMONT AVE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W MAHONING ST STE 100",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671351",
            "telephone_number": "814-938-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERLY",
        "first_name": "SHANNON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.