SHANNON LEE HIGGINSON (NPI# 1184281107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184281107 |
Entity Type | Individual |
Full Name | SHANNON LEE HIGGINSON |
Credential | DPT |
Practice Address |
3845 W 4700 S Taylorsville UT 84129-3454 |
Mailing Address |
3222 S 1940 E Millcreek UT 84106-3920 |
Practice Telephone | 8018402191 |
Mailing Telephone | 7816355337 |
Enumeration Date | 2019-05-24 |
Last Update Date | 2019-05-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
11281885-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3845 W 4700 S |
City | TAYLORSVILLE |
State | UT |
Zip Code | 84129-3454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508844853 | Nathan C Mckellar | Family Medicine | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2006-01-06 |
1639710411 | Ashley Margaret May | Occupational Therapist | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2019-10-03 |
1194379834 | Seth Michael Aure Pratt | Occupational Therapist | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2019-07-31 |
1215597786 | Michelle L Winter | Family Medicine | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2019-06-17 |
1972043180 | Arielle Myers | Speech-Language Pathologist | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2017-03-07 |
1396285573 | Ariel Hyams | Speech-Language Pathologist | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2017-03-07 |
1285187617 | Kimberly Milam | Physical Therapist | 3845 W 4700 S, Second Floor, Taylorsville, UT 84129-3454 | 2016-08-02 |
1255796272 | Alison Young Sleight | Occupational Therapist | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2015-12-17 |
1295119402 | Destiny Lyn Breaux | Physical Therapist | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2015-07-17 |
1285012732 | Julia Ann Reich | Physical Therapist | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2015-05-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891140331 | Caring for Kearns | Social Worker | 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 | 2016-05-03 |
1386014116 | Rusty Scott Burns | Physician Assistant | 4745 South 3200 West, Oquirrh View Clinic, Taylorsville, UT 84129 | 2015-10-06 |
1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
1912328576 | Heather Jenkins | Substance Abuse Rehabilitation Facility | 6200 South 3809 West, Kearns, UT 84129 | 2013-12-30 |
1184981201 | Intermountain Community Supports and Services, LLC | In Home Supportive Care | 5104 Heritage Cove, Taylorsville, UT 84129 | 2012-04-13 |
1093039521 | Chad Alan Spain | Family Medicine | 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 | 2010-03-26 |
1396068342 | Lindsay Helena Wilson | Dermatology | 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 | 2010-03-04 |
1962962407 | Craig J Campbell Dpm PC | Durable Medical Equipment & Medical Supplies | 5255 S 4015 W, #140, Salt Lake City, UT 84129 | 2019-03-21 |
1851866735 | Katie Nicholls | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129 | 2018-10-08 |
1962829374 | Spencer Tingey | Family Medicine | 3730 W 4700 S, Taylorsville, UT 84129 | 2014-03-24 |
Find all providers in zip 84129 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568960037 | Northern Holdings | Physical Therapist | 6321 S Redwood Rd Ste 100, Taylorsville, UT 84123-6799 | 2018-01-30 |
1255836086 | Shawn Phillip Maskalick | Physical Therapist | 4813 Taylorsville Rd, Taylorsville, KY 40071-9739 | 2018-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851940670 | Austin Jay Nielsen | Physical Therapist | 155 W Canyon Crest Rd Ste 100, Alpine, UT 84004-2031 | 2019-09-04 |
1669934378 | Heidi Olsen Tidwell | Physical Therapist | 1551 Renaissance Towne Dr Ste 420, Bountiful, UT 84010-7677 | 2019-04-02 |
1689148454 | Sargent Doil Barnett | Physical Therapist | 822 Turf Farm Rd Unit 3, Payson, UT 84651-5797 | 2019-01-15 |
1770054918 | Craft Physical Therapy | Physical Therapist | 537 W 600 S, Salt Lake City, UT 84101-2249 | 2018-12-16 |
1902390123 | Andrea Marie Hendricks Harper | Physical Therapist | 98 N 1100 E Ste 402, American Fork, UT 84003-2951 | 2018-06-20 |
1134636269 | Elevation Physical Therapy | Physical Therapist | 985 W Riverdale Rd Ste 2, Riverdale, UT 84405-5601 | 2018-01-10 |
1336652957 | Brian Lewis Wike I | Physical Therapist | 1868 W 9800 S Ste 200, South Jordan, UT 84095-4713 | 2017-11-06 |
1538616230 | Michelle Smith | Physical Therapist | 1794 Olympic Pkwy, Suite 140, Park City, UT 84098-6387 | 2016-09-09 |
1558712455 | Tyler Landgren | Physical Therapist | 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 | 2016-06-22 |
1891155057 | Steven Mohlman | Physical Therapist | 39 C St, Springville, UT 84663-2359 | 2016-03-02 |
Find all providers with the same taxonomy |
City | TAYLORSVILLE |
Zip Code | 84129 |
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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.