SHANNI PONCE (NPI# 1225363484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225363484 |
| Entity Type | Individual |
| Full Name | SHANNI PONCE |
| Credential | P.T. |
| Practice Address |
501 S Austin Ave Unit 1310 Georgetown TX 78626-5639 |
| Practice Telephone | 5128646050 |
| Practice Fax Number | 5128698157 |
| Mailing Telephone | 5128646052 |
| Mailing Fax Number | 5128698157 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1073989 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PHYSICAL THERAPY LICENSE | 1073989 | 01 |
| Street Address |
501 S AUSTIN AVE UNIT 1310 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-5639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497080667 | Deborah Meeker | Specialist | 501 S Austin Ave Unit 1310, Georgetown, TX 78626-5639 | 2009-10-06 |
| 1609101872 | Joy H Liu Alcaraz | Specialist | 501 S Austin Ave Unit 1310, Georgetown, TX 78626-5639 | 2009-10-06 |
| 1447585617 | Julie Lambert | Speech-Language Pathologist | 501 S Austin Ave Unit 1310, Georgetown, TX 78626-5639 | 2009-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1992182265 | James Keith Light | Specialist | 500 Marquesa Trl, Georgetown, TX 78633-4459 | 2015-05-06 |
| 1497029029 | Venessa Power | Specialist | 2200 Tower Dr, #15105, Georgetown, TX 78626-7900 | 2012-02-29 |
| 1366768186 | Persante Sleep Care, Inc. | Specialist | 1806 Commerce Road, Georgetown, DE 19947-0000 | 2010-04-19 |
| 1851613129 | David Perry Burkley | Specialist | 221 Whispering Wind, Georgetown, TX 78633-4541 | 2010-02-26 |
| 1497080667 | Deborah Meeker | Specialist | 501 S Austin Ave Unit 1310, Georgetown, TX 78626-5639 | 2009-10-06 |
| 1457552606 | Amy Polly Foster | Specialist | 131 Prater Dr, Georgetown, KY 40324-8663 | 2007-05-29 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
Please comment or provide details below to improve the information on SHANNI PONCE.
| 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.