SHANNON LEIGH BLUM (ATC, PTA) – Physical Therapy Assistant, NPI 1447464557

SHANNON LEIGH BLUM (ATC, PTA) is a healthcare provider. based in Festus, Missouri. specializing in Physical Therapy Assistant. They hold the professional credentials ATC, PTA. They hold a License No. 113979 (MO). The NPI Number for SHANNON LEIGH BLUM (ATC, PTA) is 1447464557

Main info

Female
Name
SHANNON LEIGH BLUM (ATC, PTA)
NPI
1447464557
Phone
(636) 224-7511
Address
1120 W COMMERCE DR STE 100
Enumeration Date
9 May 2007
Last Update Date
13 September 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for SHANNON LEIGH BLUM (ATC, PTA)

  • 1120 W COMMERCE DR STE 100

    FESTUS, MO 630282392

    Phone: (636) 224-7511

    Type: Location

  • 647 SPIRIT AIRPARK WEST DR STE 101

    CHESTERFIELD, MO 630051032

    Phone: (636) 206-4225

    Type: Mailing

  • 21964 Hightway 32

    Ste. Genevieve, MO 63670

    Phone: (573) 883-9366

    Type: Location

  • 10830 US HIGHWAY 61

    STE GENEVIEVE, MO 636708415

    Phone: (573) 883-9366

    Type: Mailing

  • 21964 HIGHTWAY 32

    STE. GENEVIEVE, MO 63670

    Phone: (573) 883-9366

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

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

Insurance plans in this area (ZIP 63028)

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Reviews

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Frequently asked questions

Does SHANNON LEIGH BLUM (ATC, PTA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SHANNON LEIGH BLUM (ATC, PTA) uses 1447464557.
Is SHANNON LEIGH BLUM (ATC, PTA) listed as active for patients and plans?
The listing shows SHANNON LEIGH BLUM (ATC, PTA) as active in the NPI system.
What taxonomy line describes SHANNON LEIGH BLUM (ATC, PTA)?
For research purposes, treat SHANNON LEIGH BLUM (ATC, PTA) as Physical Therapy Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SHANNON LEIGH BLUM (ATC, PTA) on a map?
Expect Festus, Missouri as a primary anchor for SHANNON LEIGH BLUM (ATC, PTA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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