Provider Demographics
NPI:1861970568
Name:BYERS, SHANNON (DPT)
Entity type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:
Last Name:BYERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:SHANNON
Other - Middle Name:
Other - Last Name:TOMASELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 392573
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9573
Mailing Address - Country:US
Mailing Address - Phone:724-343-4060
Mailing Address - Fax:724-382-6700
Practice Address - Street 1:703 LIGONIER ST
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1825
Practice Address - Country:US
Practice Address - Phone:724-537-2784
Practice Address - Fax:724-537-3159
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT033734225100000X
MD27140225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist