Provider Demographics
NPI:1144232083
Name:PURRINGTON, SHANNON RAY (MSPT)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:RAY
Last Name:PURRINGTON
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6979 S HOLLY CIR
Mailing Address - Street 2:STE 105
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1577
Mailing Address - Country:US
Mailing Address - Phone:303-694-2295
Mailing Address - Fax:303-694-1843
Practice Address - Street 1:333 S ALLISON PKWY
Practice Address - Street 2:STE 305
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3129
Practice Address - Country:US
Practice Address - Phone:303-237-7715
Practice Address - Fax:303-237-1157
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO6674225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06-6563Medicare Oscar/Certification