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MISS SHANNON MARIE BUCKMIER PT NPI 1922155043


NPI Information

NPI: 1922155043
Provider Name: MISS SHANNON MARIE BUCKMIER, PT
Classification: Physical Therapist - 2251P0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3001 11TH ST S
FARGO, ND
ZIP 58103
Phone: (701) 351-6202
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MISS Shannon Marie Buckmier, PT is a pediatrics physical therapist in Fargo, ND with 29 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. MISS Shannon Marie Buckmier, PT NPI is 1922155043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

3001 11TH ST S
FARGO, ND
ZIP 58103-048
Phone: (701) 351-6202

The enumeration date for this NPI number is 1/3/2007 and was last updated on 3/31/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatrics6742MINNESOTANo
22251P0200XPhysical TherapistPediatrics980NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
125303OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
264-05521OTHERMEDICA-UNITED HEALTH CARE
364-05521OTHERAETNA
49378588OTHERPRIVATE HEALTHCARE SYSTEM
5HP50727OTHERHEALTH PARTNERS
654984MEDICAIDNORTH DAKOTA
7736122000MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.