SHANNON BLACK (NPI# 1629184213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629184213 |
| Entity Type | Individual |
| Full Name | SHANNON BLACK |
| Practice Address |
4100 Lake Otis Pkwy Ste 106 Anchorage AK 99508-5222 |
| Mailing Address |
331 Pettis Rd Anchorage AK 99515-3350 |
| Practice Telephone | 9075506180 |
| Mailing Telephone | 9075222435 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | LICENSE # | 1036 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528448271 | Shannon Trice Black | Counselor | 1900 Manakin Rd Ste G, Manakin Sabot, VA 23103-2252 | 2015-06-08 |
| 1134413438 | Shannon Nichole Black | Chiropractor | 3803 Palmer Park Blvd, Suite B, Colorado Springs, CO 80909-2600 | 2011-06-03 |
| 1679595300 | Shannon L Black | Psychologist | 6120 Havelock Ave, Suite B, Lincoln, NE 68507-1278 | 2006-07-24 |
| 1063948248 | Shannon Black | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2017-05-07 |
| 1528590031 | Shannon Black | Student in an Organized Health Care Education/Training Program | 60 Daggett Dr, San Jose, CA 95134-2108 | 2017-04-03 |
| 1649668567 | Shannon Elizabeth Black | Counselor | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2014-12-30 |
| Street Address |
4100 LAKE OTIS PKWY STE 106 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535502 | Colleen Mary Elizabeth Murphy | Specialist | 4100 Lake Otis Pkwy, Ste 330, Anchorage, AK 99508-5232 | 2005-05-31 |
| 1003389032 | Ashliegh Levesque | Specialist/Technologist, Other | 4100 Lake Otis Pkwy, Anchorage, AK 99508-5229 | 2019-01-02 |
| 1568961407 | Julia Hyatt | Nurse Anesthetist, Certified Registered | 4100 Lake Otis Pkwy, Anchorage, AK 99508-5229 | 2018-02-06 |
| 1720525942 | Colleen Curley | Nurse Anesthetist, Certified Registered | 4100 Lake Otis Pkwy, Ste102, Anchorage, AK 99508-5229 | 2017-01-25 |
| 1053862607 | U.S. Healthworks Medical Group of Alaska, LLC | Family Medicine | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1043761695 | U.S. Healthworks Medical Group of Alaska, LLC | Clinic/Center | 4100 Lake Otis Pkwy, Suite 100, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1679920565 | Leslie Tolliver II | Physician Assistant | 4100 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5229 | 2016-05-20 |
| 1205298957 | Primary Care Associates | Clinic/Center | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-03-22 |
| 1922468743 | Kristin Ashby | Nurse Practitioner | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-03-07 |
| 1902286701 | Adrian Barniak | Physical Therapist | 4100 Lake Otis Pkwy, Suite 106, Anchorage, AK 99508-5229 | 2015-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| 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 |
|---|---|---|---|---|
| 1639788896 | Robert A Wilkens | Physical Therapist | 3300 Providence Dr Ste B201, Anchorage, AK 99508-4621 | 2020-07-23 |
| 1730718412 | Brooke Maury Dudley | Physical Therapist | 3000 Mccollie Ave, Anchorage, AK 99517-1270 | 2020-04-05 |
| 1356991525 | Out Patient At Home Physical Therapy LLC | Physical Therapist | 12820 Mission Cir, Anchorage, AK 99516-2760 | 2019-09-18 |
| 1851808877 | Erin P Mccurdy | Physical Therapist | 1200 Airport Heights Dr Ste 170, Anchorage, AK 99508-2986 | 2017-12-30 |
| 1619483310 | Peak Rehab LLC | Physical Therapist | 1902 S Salem Dr, Anchorage, AK 99508-5159 | 2017-12-18 |
| 1205355369 | Justin Cache Handy | Physical Therapist | 4361 Boniface Pkwy Ste 3, Anchorage, AK 99504-4316 | 2017-09-10 |
| 1851819429 | Wesley Brant Minton | Physical Therapist | 3400 Latouche St Ste 200, Anchorage, AK 99508-4208 | 2017-09-05 |
| 1962927897 | Paige A Chamberlain | Physical Therapist | 3400 Latouche St # 200, Anchorage, AK 99508-4208 | 2017-08-11 |
| 1821530742 | Kelita Mclaughlin | Physical Therapist | 600 Richardson Dr Bldg 604, Anchorage, AK 99505-8310 | 2016-11-09 |
| 1578005617 | Kyra Helin | Physical Therapist | 7731 E Northern Lights Blvd Ste 2, Anchorage, AK 99504-3572 | 2016-11-07 |
| Find all providers in ANCHORAGE | ||||
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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.