KELLY LYNN SHANNON (NPI# 1922264860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922264860 |
| Entity Type | Individual |
| Full Name | KELLY LYNN SHANNON |
| Other Name | KELLY LYNN DAVIS |
| Credential | DPT |
| Practice Address |
20528 Boland Farm Rd Suite 211 Germantown MD 20876-4021 |
| Mailing Address |
84 Thomas Johnson Ct Suite B Frederick MD 21702-4678 |
| Practice Telephone | 3019160164 |
| Practice Fax Number | 3015400722 |
| Mailing Telephone | 3016628541 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2015-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
22615 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265886071 | Kelly Shannon | Registered Nurse | 669 W Tramonto Dr, Mountain House, CA 95391-1243 | 2016-04-18 |
| 1699874198 | Kelly Shannon | Psychologist | 102 E Mulberry Ave, San Antonio, TX 78212-2946 | 2006-09-21 |
| 1760937510 | Kelly Shannon | Optometrist | 1597 Sw 53rd St, Corvallis, OR 97333-2630 | 2016-08-22 |
| 1578538765 | Kelly T Shannon | Specialist | 300 Halket St, Magee-womens Hospital, Pittsburgh, PA 15213-3108 | 2006-02-21 |
| Street Address |
20528 BOLAND FARM RD SUITE 211 |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20876-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245212489 | Gp Therapy, LLC | Physical Therapist | 20528 Boland Farm Rd, Suite 211, Germantown, MD 20876-4021 | 2005-11-15 |
| 1639701717 | Adansepipim Oforiatta | Massage Therapist | 20528 Boland Farm Rd, Germantown, MD 20876-4021 | 2020-02-06 |
| 1083063598 | Andrea Eyestone | Physician Assistant | 20528 Boland Farm Rd, Germantown, MD 20876-4021 | 2016-06-06 |
| 1962872333 | Joseph Mckelvey | Physician Assistant | 20528 Boland Farm Rd, Suite 104, Germantown, MD 20876-4021 | 2015-09-29 |
| 1497153936 | Ben Manesh Dds Vi PC | Dentist | 20528 Boland Farm Rd, Suite 212, Germantown, MD 20876-4021 | 2014-12-16 |
| 1811306657 | Madelyn Keese | Physical Therapist | 20528 Boland Farm Rd, Suite 111, Germantown, MD 20876-4021 | 2014-08-06 |
| 1043643364 | Neha Mitesh Parekh | Physical Therapist | 20528 Boland Farm Rd, Suite 211, Germantown, MD 20876-4021 | 2013-08-11 |
| 1013269489 | Thalia Olga Kirimlis | Psychologist | 20528 Boland Farm Rd, Suite 207, Germantown, MD 20876-4021 | 2012-10-10 |
| 1952650657 | Shani Glaude | Counselor | 20528 Boland Farm Rd, 207, Germantown, MD 20876-4021 | 2012-09-10 |
| 1275897720 | Luke Pritchard | Acupuncturist | 20528 Boland Farm Rd, Suite 211, Germantown, MD 20876-4021 | 2012-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1003379819 | Pamela Denise Murphy | Counselor | 11480 Scenery Place, Germantown, MD 20876 | 2019-04-09 |
| 1629595061 | Teresa Francisco | Home Health Aide | 1 Yellow Leaf Ct, Germatown, MD 20876 | 2017-08-25 |
| 1679943559 | Aurora Equipment Supply | Durable Medical Equipment & Medical Supplies | 11712 Doxdam Terrace, Germantown, MD 20876 | 2015-10-05 |
| 1134500564 | The Blue Door Pharmacy, LLC | Pharmacy | 19851 Observation Drive, Germantown, MD 20876 | 2015-06-11 |
| 1730570003 | Smart Pain Surgery Center At Germantown, LLC | Clinic/Center | 19851 Observation Dr., Suite 350, Germantown, MD 20876 | 2015-02-09 |
| 1902296668 | Ci-wun Huang | Pharmacy Technician | 20908 Frederick Road, Germantown, MD 20876 | 2015-02-02 |
| 1184025322 | Robert Shirley | Physical Therapist | 20500 Seneca Meadows Parkway, Germantown, MD 20876 | 2014-09-08 |
| 1285067108 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 19851 Observation Dr, Suite 450, Germantown, MD 20876 | 2013-08-14 |
| 1639430200 | Sandrine Claire Mbouyo | Home Health Aide | 11102 Cedaiblugg Ln, Germantown, MD 20876 | 2012-05-31 |
| Find all providers in zip 20876 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902863988 | Deborah K Loftus | Physical Therapist | W156n11072 Pilgrim Rd, Germantown, WI 53022-4247 | 2006-04-26 |
| 1245212489 | Gp Therapy, LLC | Physical Therapist | 20528 Boland Farm Rd, Suite 211, Germantown, MD 20876-4021 | 2005-11-15 |
| 1790158665 | Megha Tiwari | Physical Therapist | 19785 Crystal Rock Dr Ste 309, Germantown, MD 20874-4732 | 2015-11-02 |
| 1821460049 | Drew Hofbauer | Physical Therapist | 20500 Seneca Meadows Pkwy, Suite 101, Germantown, MD 20876-7008 | 2015-10-27 |
| 1225429707 | Lisa Michelle Tipton | Physical Therapist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2015-02-05 |
| 1699175711 | Orthopaedic Manual Therapy Specialists, LLC | Physical Therapist | 13217 Executive Park Ter, Germantown, MD 20874-2647 | 2014-08-26 |
| 1992112049 | Carie Balton Mcphail | Physical Therapist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2014-07-21 |
| 1427465574 | Christal Harwell-mostert | Physical Therapist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2014-07-21 |
| 1215344809 | Katelyn Dalton | Physical Therapist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2014-07-16 |
| 1962817114 | Larry Williams Jr. | Physical Therapist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2014-06-26 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 20876 |
Please comment or provide details below to improve the information on KELLY LYNN SHANNON.
| 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.