SHANNON MARIE MULLALY (NPI# 1023197993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023197993 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE MULLALY |
| Credential | PT MPT CIMT CSCS |
| Practice Address |
10650 Park Rd 120 Charlotte NC 28210-8538 |
| Mailing Address |
4601 Park Rd Suite 300 Charlotte NC 28209-3239 |
| Practice Telephone | 7043232000 |
| Mailing Telephone | 7043232000 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 13200 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 20120 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
13200 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10650 PARK RD 120 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881676567 | Thomas Henry Buter | Orthopaedic Surgery | 10650 Park Rd, Ste 120, Charlotte, NC 28210-8538 | 2005-11-17 |
| 1497388144 | Caitlin Muse | Nurse Practitioner | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2020-02-20 |
| 1881242253 | Ann Homa | Nurse Practitioner | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2019-08-29 |
| 1689135436 | Megan David | Physician Assistant | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2019-03-26 |
| 1710453980 | Samantha White | Physician Assistant | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2018-10-16 |
| 1184108037 | Jaclyn Baker | Nurse Practitioner | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2018-09-17 |
| 1023594884 | Kathryn Martin | Nurse Practitioner | 10650 Park Rd, Ste 300, Charlotte, NC 28210-8538 | 2018-07-16 |
| 1063909794 | Janet Arrazcaeta | Pharmacist | 10650 Park Rd, Charlotte, NC 28210-8538 | 2018-04-18 |
| 1174010813 | Heather Rose | Physician Assistant | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2018-04-18 |
| 1306348081 | Hana Alqariab | Nurse Practitioner | 10650 Park Rd, Ste 420, Charlotte, NC 28210-8538 | 2018-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891322616 | Lauren Blakey Gass | Physical Therapist | 7320 Brice Knoll Ln # D-305, Charlotte, NC 28269-3435 | 2020-03-23 |
| 1902431539 | Michelle Jane Hughes | Physical Therapist | 8024 Black Forest Ln Apt 11108, Charlotte, NC 28277-6736 | 2020-03-04 |
| 1538793237 | Mary Allison Cargill | Physical Therapist | 1700 N Brevard St Apt 217, Charlotte, NC 28206-3615 | 2020-03-03 |
| 1902436074 | Sarah Sullivan | Physical Therapist | 2120 N Brevard St Apt 147, Charlotte, NC 28206-3657 | 2020-01-17 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1265073423 | Christopher Dyba | Physical Therapist | 6034 Heath Valley Rd, Charlotte, NC 28210-4352 | 2019-09-30 |
| 1558919324 | Briana Packer | Physical Therapist | 5501 Sharon Rd, Charlotte, NC 28210-6357 | 2019-08-26 |
| 1720633258 | Roper Physical Therapy, Inc. | Physical Therapist | 301 E Tremont Ave Ste B, Charlotte, NC 28203-5484 | 2019-08-01 |
| 1770135188 | Parita Joshi | Physical Therapist | 7417 Hidden Creek Dr, Charlotte, NC 28214-8896 | 2019-07-15 |
| 1770147142 | Kelsi Brooke Fabin | Physical Therapist | 1901 Summey Ave, Charlotte, NC 28205-7931 | 2019-04-30 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.