Shannon Carey Mustico in Elizabeth City - Physical Therapist
Shannon Carey Mustico - NPI 1316986524
Shannon Carey Mustico is a Physical Therapist in Elizabeth City, North Carolina. Shannon Carey Mustico practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Shannon Carey Mustico is 1316986524. The last update date is 2015-06-16.
Shannon Carey Mustico's current location address is 101 Medical Dr, Elizabeth City, North Carolina. You can contact this provider via phone number 2523382114 and fax number 2523382115. The mailing address for Shannon Carey Mustico is 101 Medical Dr, Elizabeth City, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Carey Mustico |
|---|---|
| Address | 101 Medical Dr, Elizabeth City, North Carolina |
| Phone Number | 2523382114 |
| Fax Number | 2523382115 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1316986524 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2015-06-16 |
Provider Mailing Address Detail
| Address | 101 Medical Dr |
|---|---|
| City | Elizabeth City |
| State | North Carolina (NC) |
| Post Code | 279093361 |
| Phone Number | 2523382114 |
| Fax Number | 2523382115 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 11663 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7212587 | NC | -- | |
| 6873 | NC | BCBS |
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What is the unique 10-digit identification code issued to Shannon Carey Mustico by the Centers for Medicare & Medicaid Services?
The Shannon Carey Mustico has been assigned the NPI (National Provider Identifier) 1316986524 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Shannon Carey Mustico located?
The Shannon Carey Mustico is located at 101 Medical Dr, Elizabeth City, NC 279093361.
What is the Shannon Carey Mustico's area of specialization and corresponding taxonomy classification?
The Shannon Carey Mustico's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
When was the Shannon Carey Mustico's 1316986524 issued?
The Shannon Carey Mustico's 1316986524 was issued on 2006-06-05.
When was the information regarding Shannon Carey Mustico, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shannon Carey Mustico, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-16.
NPI Number: 1932102142
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