Shannon Leigh Blum, ATC, PTA
NPI 1447464557ActiveIndividual· Physical Therapy Assistant· Festus, MO
Physical Therapy Assistant (ATC, PTA) in Festus, Missouri, licensed in MO, with an NPI issued in May 2007.
Overview
| NPI | 1447464557 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ATC, PTA |
| Sole proprietor | No |
| NPI issued | May 9, 2007 |
| Last updated in NPPES | Sep 13, 2023 |
| Certified by provider | Sep 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 2019027232 | MO |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 113979 | MO |
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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