Shannon R Scoggins, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

520 Cook Street
Suite D
Madisonville, TN 37354

Phone

(423) 442-1440

Fax

(423) 442-1441

NPI assigned

Jun 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shannon Renee Lee Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniel LongGroup PAC ID 4284689449, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Daniel Long

  • Specialist
  • Madisonville, TN
  • NPI 1972686194
  Medicare reassignment Care Compare group NPD
• Physical Therapy of Tellico, LLC

  • Physical Therapist
  • Tellico Plains, TN
  • NPI 1689614075
  NPD (past)
• Prisma Health - Blount Memorial Hospital Inc.

  • General Acute Care Hospital
  • Maryville, TN
  • NPI 1619939071
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1972541209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COOK STREET",
            "address_2": "SUITE D",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "37354",
            "telephone_number": "423-442-1440",
            "fax_number": "423-442-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COOK STREET",
            "address_2": "SUITE D",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "37354",
            "telephone_number": "423-442-1440",
            "fax_number": "423-442-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGGINS",
        "first_name": "SHANNON",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST - GROUP NUMBER",
            "identifier": "3156797",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446652",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "LEE",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Derek Rose, PTA
• Crystal A Russell
• S&T Beverley, LLC
• Safe Haven Counseling LLC
• Cheryl F Scarlett
• Smiley Family Chiropractic
• Jessica Smiley Hedrick, D.C.
• Linda Christine Sparks, CMSW
• Jamie Morgan Stamey, FNP
• State of Tennessee

• Physical Therapist in Madisonville, TN
• Providers in Madisonville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.