Shannon Maragos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008820 Issued in OH

Practice address

115 Main St
Wintersville, OH 43953-3733

Phone

(740) 266-6855

Fax

(740) 275-4182

NPI assigned

Aug 4, 2010

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 1

Other names 1

• Shannon McCombs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elite Physical Therapy LLC

  • Physical Therapist
  • Wintersville, OH
  • NPI 1336394311
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1982918785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533733",
            "telephone_number": "740-266-6855",
            "fax_number": "740-275-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533733",
            "telephone_number": "740-266-6855",
            "fax_number": "740-275-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAGOS",
        "first_name": "SHANNON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "008820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "008820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MCCOMBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Livewell Direct Support, LLC
• Sharon Livingston
• LTAC Investors LLC
• LTAC Investors LLC
• Margeaux Mallas, DPT
• Fallon Alexa Martin, LMT
• Hayden Martin
• Charles Mascellino
• Thomas Matanzo, DDS
• Vanessa Maurer, MS CCC-SLP

• Physical Therapist in Wintersville, OH
• Providers in Wintersville, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.