Samuel Shannon, PTA
NPI 1871210039 · Physical Therapy Assistant · Blythewood, SC
Samuel Shannon, PTA is a Physical Therapy Assistant provider in Blythewood, SC (NPI 1871210039).
Provider details
- NPI number
- 1871210039
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 4846 (SC)
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
3 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
- 2022-10-27
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Frequently asked questions
- What is Samuel Shannon's NPI number?
- Samuel Shannon's National Provider Identifier (NPI) is 1871210039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Shannon's specialty?
- Samuel Shannon is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Samuel Shannon located?
- Samuel Shannon's practice location on file with NPPES is 420b Mcnulty St, Blythewood, SC 29016-8786.
- What is Samuel Shannon's phone number?
- The practice phone number listed in the NPPES registry for Samuel Shannon is (803) 728-0421.
- Is Samuel Shannon's NPI active?
- Yes — Samuel Shannon's NPI (1871210039) is active in the NPPES registry as of the last update on 2022-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.