Healthcare Provider Details

I. General information

NPI: 1538255930
Provider Name (Legal Business Name): SHANNON WHITMIRE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 HENDERSONVILLE HWY STE 3
PISGAH FOREST NC
28768-8929
US

IV. Provider business mailing address

136 WHITMIRE FARMS DR
BREVARD NC
28712-7379
US

V. Phone/Fax

Practice location:
  • Phone: 828-463-3027
  • Fax: 877-809-0494
Mailing address:
  • Phone: 828-463-3027
  • Fax: 877-809-0494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9682
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: