DOMINIK ALAN SHANNON (NPI# 1114409273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114409273 |
| Entity Type | Individual |
| Full Name | DOMINIK ALAN SHANNON |
| Credential | PT, DPT |
| Practice Address |
842 N Highland Ave Ne Ste Ter Atlanta GA 30306-4530 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 6786859356 |
| Practice Fax Number | 6786859357 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4233628684 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT013656 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
842 N HIGHLAND AVE NE STE TER |
| City | ATLANTA |
| State | GA |
| Zip Code | 30306-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730434812 | Poonam Bhakta Hurley | Physical Therapist | 842 N Highland Ave Ne Ste Ter, Atlanta, GA 30306 | 2012-07-16 |
| 1811442122 | Erika Anne Belmore | Physical Therapist | 842 N Highland Ave Ne Ste Ter, Atlanta, GA 30306-4530 | 2016-08-17 |
| 1265872287 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 842 N Highland Ave Ne Ste Ter, Atlanta, GA 30306-4530 | 2013-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900858 | Jill Driver | Chiropractor | 1390 Lanier Blvd Ne, 1409-a, Atlanta, GA 30306 | 2020-04-09 |
| 1447737697 | Heather Nicole Vansau | Speech-Language Pathologist | 1272 Stillwood Dr Ne, Atlanta, GA 30306 | 2018-07-20 |
| 1871095919 | Michelle Ruth Orovitz | Nurse Practitioner | 1140 Briarcliff Rd Ne Apt 1, Atlanta, GA 30306 | 2018-03-05 |
| 1497261960 | Rockwell Oral and Facial Surgery LLC | Dentist | 675 N. Highland Ave Ne, Suite 100, Atlanta, GA 30306 | 2017-12-20 |
| 1518414101 | David Alan Sturgess Jr. | Counselor | 696 Courtenay Dr, Ne, Atlanta, GA 30306 | 2016-09-01 |
| 1952778565 | Kristen Jugs | Speech-Language Pathologist | 609 Virginia Ave Ne Apt 4108, None, Atlanta, GA 30306 | 2015-08-31 |
| 1962749655 | Robert B Tersak | Pharmacist | 1001 Ponce De Leon Avenue Ne, Atlanta, GA 30306 | 2013-01-15 |
| 1609158963 | Centers for Disease Control and Prevention, Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd, Ms E46, Atlanta, GA 30306 | 2011-09-13 |
| 1598045965 | April Kooy | Physician Assistant | 1000 Briarcliff Road Ne, Atlanta, GA 30306 | 2011-08-17 |
| 1083937874 | Lynda Shane Blasko | Counselor | 1409 North Highland Avenue, Suite J, Atlanta, GA 30306 | 2010-03-08 |
| Find all providers in zip 30306 | ||||
| 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 |
|---|---|---|---|---|
| 1558969204 | Caitlin P Knowles | Physical Therapist | 349 Delmont Dr Ne, Atlanta, GA 30305-3220 | 2020-10-14 |
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1063021251 | Zachary Vinsant | Physical Therapist | 4620 Wieuca Rd Ne Apt 26, Atlanta, GA 30342-3335 | 2020-07-23 |
| 1538777198 | Megan Mclees Washburn | Physical Therapist | 2448 Chestnut Lndg, Atlanta, GA 30360-2198 | 2020-07-20 |
| 1710521471 | Alexandra Marie Evancho | Physical Therapist | 141 Lindbergh Dr Ne Unit A, Atlanta, GA 30305-3765 | 2019-11-05 |
| 1386292217 | Andrew Michael Benton | Physical Therapist | 550 Peachtree St Ne Ste 1760, Atlanta, GA 30308-2262 | 2019-09-04 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1366094443 | Kelly Elizabeth Mckinnon | Physical Therapist | 2001 Peachtree Rd Ne Ste 200, Atlanta, GA 30309-1476 | 2019-07-10 |
| 1295292555 | Christina Diggs | Physical Therapist | 550 Peachtree St Ne # L231, Atlanta, GA 30308-2247 | 2019-02-22 |
| 1265998066 | Megan Elizabeth Ruger | Physical Therapist | 636 Cresthill Ave Ne, Atlanta, GA 30306-3640 | 2019-02-17 |
| Find all providers in ATLANTA | ||||
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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.