SHANNON BALLINGER (NPI# 1396344198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396344198 |
| Entity Type | Individual |
| Full Name | SHANNON BALLINGER |
| Other Name | SHANNON HARRISON |
| Credential | DPT |
| Practice Address |
1470 400 W Salt Lake City UT 84115 |
| Mailing Address |
2991 S Elgin Hill Ct # 8 Millcreek UT 84106-4549 |
| Practice Telephone | 2069308971 |
| Mailing Telephone | 2069308971 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
11803306-2401 | UT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235481441 | Shannon Ballinger | Behavioral Analyst | 8108 Se Coconut St, Hobe Sound, FL 33455-4008 | 2012-10-11 |
| Street Address |
1470 400 W |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| 1952780728 | Kiley Glenn Anderson | Radiologic Technologist | 439 Bryan Avenue, Salt Lake City, UT 84115 | 2015-05-26 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215085 | Move Well Age Well, LLC | Clinic/Center | 2223 S Highland Dr Ste E6-256, Salt Lake City, UT 84106-3672 | 2020-04-29 |
| 1265094619 | Recalibrate Physical Therapy | Clinic/Center | 3450 S 400 E, Salt Lake City, UT 84115-4604 | 2019-07-06 |
| 1659633691 | Intensive Physical Therapy Institute, LLC | Clinic/Center | 4568 S Highland Dr Ste 180, Salt Lake City, UT 84117-4236 | 2012-06-14 |
| 1285864744 | Core of Health, LLC | Clinic/Center | 84 W 700 S, Salt Lake City, UT 84101-2731 | 2009-07-19 |
| 1013037704 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2007-03-29 |
| 1346898566 | C3 Physical Therapy and Health & Wellness Services | Clinic/Center | 6216 S Redwood Rd, Salt Lake City, UT 84123-6630 | 2019-08-30 |
| 1093222077 | Beaver Valley Hospital | Clinic/Center | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2017-12-29 |
| 1891202859 | Beaver Valley Hospital | Clinic/Center | 4782 S Holladay Blvd, Salt Lake City, UT 84117-5444 | 2017-12-29 |
| 1356858328 | Beaver Valley Hospital | Clinic/Center | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2017-12-29 |
| 1275049348 | Beaver Valley Hospital | Clinic/Center | 165 S 1000 E, Salt Lake City, UT 84102-1402 | 2017-12-27 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
Please comment or provide details below to improve the information on SHANNON BALLINGER.
| 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.