Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Samuel C Shannon, PTA

Physical Therapy Assistant in Blythewood, SC · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871210039

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Registry record

Entity type Individual (Type 1)

Name Mr. Samuel C Shannon

Credential PTA

Sex Male

Practice address 420b Mcnulty St, Blythewood, SC, 29016

Phone (803) 728-0421

Fax (803) 728-0424

Enumeration date Oct 27, 2022

Last updated in NPPES Oct 27, 2022

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 4846 (SC) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Samuel Shannon practice?

The practice location on file with NPPES is in Blythewood, SC. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Samuel Shannon?

The National Provider Identifier (NPI) for Samuel Shannon is 1871210039, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Wytisha Carter Physical Therapist · Blythewood, SC NPI 1871538231 Julie Bower Physical Therapist · Blythewood, SC NPI 1912181009 Ellison Eargle Physical Therapy Assistant · Blythewood, SC NPI 1427908680

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-27.