Shannon E. Brockwell, PTA
NPI 1083945216ActiveIndividual· Physical Therapy Assistant· North Augusta, SC
Physical Therapy Assistant (PTA) in North Augusta, South Carolina, licensed in GA and SC, with an NPI issued in January 2010.
Overview
| NPI | 1083945216 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | No |
| NPI issued | Jan 28, 2010 |
| Last updated in NPPES | Apr 19, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA 002671 | GA |
| Physical Therapy Assistant | 225200000X | PTA 2460 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All Physical Therapy Assistant providers in South Carolina →