IndividualActive
Shannon Easingwood, PTA
NPI 1003404583 · Physical Therapy Assistant · Myrtle Beach, SC
Provider details
- NPI number
- 1003404583
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4530 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Phone: (843) 903-8300
Street-level locationGet directions
Mailing address
223 Maison Dr Unit 8 Box 32
Myrtle Beach, SC 29572
Registry dates
- Enumerated
- 2021-01-09
- Last updated
- 2021-01-09
- Certified
- 2021-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.