Shannon Stuyvesant, PTA
NPI 1104215961 · Physical Therapist · Albuquerque, NM
Shannon Stuyvesant, PTA is a Physical Therapist provider in Albuquerque, NM (NPI 1104215961).
Provider details
- NPI number
- 1104215961
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- A-62 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2015-01-16
- Last updated
- 2015-01-16
Frequently asked questions
- What is Shannon Stuyvesant's NPI number?
- Shannon Stuyvesant's National Provider Identifier (NPI) is 1104215961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Stuyvesant's specialty?
- Shannon Stuyvesant is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shannon Stuyvesant located?
- Shannon Stuyvesant's practice location on file with NPPES is 5123 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2672.
- What is Shannon Stuyvesant's phone number?
- The practice phone number listed in the NPPES registry for Shannon Stuyvesant is (505) 292-3333.
- Is Shannon Stuyvesant's NPI active?
- Yes — Shannon Stuyvesant's NPI (1104215961) is active in the NPPES registry as of the last update on 2015-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.