SHAWNERY DAVIDSON (PTA) – Physical Therapy Assistant, NPI 1801244710

Physical Therapy Assistant

SHAWNERY DAVIDSON (PTA) is a healthcare provider. based in Granite city, Illinois. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. 160002824 (IL). The NPI Number for SHAWNERY DAVIDSON (PTA) is 1801244710

Main info

Female

Sole Proprietor

Name

SHAWNERY DAVIDSON (PTA)

NPI

1801244710

Phone

(618) 581-8328

Address

5408 MARYVILLE RD

Enumeration Date

1 June 2016

Last Update Date

1 June 2016

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience34

Completeness75

Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for SHAWNERY DAVIDSON (PTA)

Maryville Road, Nameoki, Granite City, Madison County, Illinois, 62040, United States
GRANITE CITY, IL 620402611
Phone: (618) 581-8328
Fax: (708) 479-2112
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62040)

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Reviews

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Frequently asked questions

How do I look up SHAWNERY DAVIDSON (PTA) by NPI?

Use NPI 1801244710 when you need to reference SHAWNERY DAVIDSON (PTA) in forms, claims, or directories.

Is SHAWNERY DAVIDSON (PTA)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

Does SHAWNERY DAVIDSON (PTA) list a primary specialty?

If you are matching referrals, note Physical Therapy Assistant for SHAWNERY DAVIDSON (PTA). Clinical services aligned with this taxonomy classification.

Where does public data place SHAWNERY DAVIDSON (PTA)?

The snapshot lists Granite City, Illinois for SHAWNERY DAVIDSON (PTA); download NPPES for the complete set.

How can I contact SHAWNERY DAVIDSON (PTA)?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.