Shannon Nicole Driskell, PTA
Physical Therapy Assistant in Blue Springs, MO. Individual provider (NPI-1).
NPI number1578047890
StatusActive
Last updated in NPPESDec 8, 2023
Details
- NPI
- 1578047890
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shannon Nicole Driskell
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2018
- Certification date
- Dec 8, 2023
- Last updated
- Dec 8, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 14-03174 | KS | Yes |
| 225200000X | Physical Therapy Assistant | 2016002049 | MO |
Practice location
111 Nw Mock Ave Ste OffBlue Springs, MO 64014-2504
Phone 816-228-5655
Mailing address
550 Pope AveFort Leavenworth, KS 66027-2332
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Blue Springs, MO
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All 33 Physical Therapy Assistant providers in Blue Springs · All 1,075 providers in Blue Springs
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