Shanna Lynne Elliott, PT/DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

912 Viking Rd Ste 101
Cedar Falls, IA 50613

Phone

(319) 449-6055

NPI assigned

Jun 14, 2017

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

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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.

• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  IA

  Medicare reassignment NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982134870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-590-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 VIKING RD STE 101",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "50613",
            "telephone_number": "319-449-6055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pennsylvania Ave Ste 213",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503162365",
            "country_code": "US",
            "telephone_number": "515-263-9696",
            "fax_number": "515-263-0233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Pennsylvania Ave Ste 213",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503162365",
            "country_code": "US",
            "telephone_number": "515-263-9696",
            "fax_number": "515-263-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SHANNA",
        "middle_name": "LYNNE",
        "credential": "PT/DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Stephen Eittreim
• Chad Elbandagji
• Shelby Eldridge, PMHNP-BC
• Gina Irene Ellingson, PA-C
• Summer Elliott-Ott
• Spencer James Elliott, DPT
• Briley Engen
• Steven A Erickson, MD
• Todd A Evans, ATC
• Emily A Fakler, MA

• Physical Therapist in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.