MR. TIMOTHY M. SHANNON


Address: 4801 S Congress Ave, Suite 301, Lake Worth, FL 33461-4746
Phone: 5619676500

MR. TIMOTHY M. SHANNON (NPI# 1801832597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801832597
Entity Type Individual
Full Name MR. TIMOTHY M. SHANNON
Credential P.T.
Practice Address 4801 S Congress Ave
Suite 301
Lake Worth
FL 33461-4746
Practice Telephone 5619676500
Practice Fax Number 5619635600
Mailing Telephone 5619676500
Mailing Fax Number 5619635600
Enumeration Date 2006-06-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist PT 19887 FL Other Service Providers

Other Providers TIMOTHY SHANNON

NPI Name Taxonomy Address Enumeration
1730614579 Timothy Patrick Shannon Technician, Pathology 6748 Mary Ave Nw, #104, Seattle, WA 98117-5360 2017-05-01
1952314817 Timothy Michael Shannon Dentist 2214 W Boyd St, Norman, OK 73069-4836 2006-08-14
1457314858 Timothy W Shannon Optometrist 1234 7th St, Suite 2, Santa Monica, CA 90401-1614 2006-04-08
1770641128 Timothy Patrick Shannon Dentist 4450 Se Johnson Creek Blvd, Milwaukie, OR 97222-9217 2006-12-05
1811968589 Timothy J Shannon Orthopaedic Surgery 410 University Pkwy, Suite 1000, Aiken, SC 29801 2006-01-30

Office Location

Street Address 4801 S CONGRESS AVE
SUITE 301
City LAKE WORTH
State FL
Zip Code 33461-4746

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962461640 David H Kiner Internal Medicine 4801 S Congress Ave, Suite 304, Lake Worth, FL 33461-4746 2006-03-21
1558719526 Soho Wellness Initiative, LLC Clinic/Center 4801 S Congress Ave, Suite 120, Lake Worth, FL 33461-4746 2016-05-31
1326417676 Soho Wellness Initiative, LLC Clinic/Center 4801 S Congress Ave, Suite 120, Lake Worth, FL 33461-4746 2015-09-16
1326399791 Blue Water Doctors of Lake Worth LLC Family Medicine 4801 S Congress Ave, Suite 304, Lake Worth, FL 33461-4746 2012-09-26
1508147240 Wellington Orthopedic Institute Orthopaedic Surgery 4801 S Congress Ave, Lake Worth, FL 33461-4746 2011-09-08
1790095693 Dr David H Kiner Do Pa Internal Medicine 4801 S Congress Ave, Suite 304, Lake Worth, FL 33461-4746 2010-10-14
1558680991 Dennis Montoya Physical Therapist 4801 S Congress Ave, Lake Worth, FL 33461-4746 2010-05-25
1396077210 Sarah Oliver Specialist/Technologist 4801 S Congress Ave, Lake Worth, FL 33461-4746 2010-02-02
1154595023 Conte's Dental Group Dentist 4801 S Congress Ave, Lake Worth, FL 33461-4746 2008-04-22
1306018858 Audrey E Sawney-young Occupational Therapy Assistant 4801 S Congress Ave, Lake Worth, FL 33461-4746 2008-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174167993 Pcc Medical Holdings LLC Health Maintenance Organization 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 2019-11-05
1841849692 Five Star Medical Group Inc Clinic/Center 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 2019-09-04
1346894375 Patrick Pierre Jr. Behavioral Analyst 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 2019-07-29
1740842699 Amanda Shaw Massage Therapist 822 Lynnwood Dr, Lake Worth, FL 33461 2019-07-01
1043706005 Elina Aguero Arman Case Manager/Care Coordinator 420 Alemeda Dr, Palm Springs, FL 33461 2018-07-02
1275028656 Cagigas Dental Services Inc Clinic/Center 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 2018-06-27
1972028447 Annette Daley Behavior Technician 3595 2nd Ave North, Palm Springs, FL 33461 2017-08-07
1104349471 Safe At Home Health Care, LLC In Home Supportive Care 555 Purdy Ln. #215, Palm Springs, FL 33461 2017-07-19
1609307271 Yadira Perera Assistant Behavior Analyst 500 Davis Rd 42a, Palm Springs, FL 33461 2017-03-24
1982155842 Palm Beach Addiction Center, Inc Substance Abuse Rehabilitation Facility 4196 Lake Worth Road, Lake Worth, FL 33461 2016-10-17
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043697949 Tanya Farris-steward Specialist 6898 Houlton Cir, Lake Worth, FL 33467-8741 2015-04-29
1346413804 Jeremy Dalisay Chan Specialist 6798 Ashburn Rd, Lake Worth, FL 33467-7319 2008-04-04
1487842753 Randall Deal Specialist 5791 Lago Del Sol Dr, Lake Worth, FL 33449-5426 2007-10-11
1851583082 Rely-a-bill Medical Billing Services LLC Specialist 8256 Abalone Point Blvd, Lake Worth, FL 33467-6944 2007-08-12
1285838672 Denise Lucy Caruso Specialist 7567 Wentworth Dr, Lake Worth, FL 33467-7811 2007-06-12
1992919385 Tania Lopez Specialist 1906 N A St, Lake Worth, FL 33460-6002 2007-05-09
1124232244 Jenny Constanza Acosta Specialist 3784 Cypress Lake Dr, Lake Worth, FL 33467-2205 2007-05-09
1467528240 Mary Lynn Engroff Specialist 7595 Lake Worth Rd, Lake Worth, FL 33467-2532 2006-11-26
1609952787 Marilyn Gail Harvie Specialist 9655 San Vittore St, Lake Worth, FL 33467-6149 2006-10-31
1548362833 Peter Jay Lowe Specialist 4175 S Congress Ave Ste V, Lake Worth, FL 33461-4725 2006-09-05
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Competitor

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City LAKE WORTH
Zip Code 33461

Improve Information

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Dataset Information

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.

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