P Praxis·MD
● Active Type 1 · Individual

Shannon F Burbank

Physical Therapy Assistant·Nampa, ID· NPI 1093280307 · Enumerated 2018 · 7 years on NPI
Burbank is 1 of 12 physical therapy assistant providers in Nampa and 1 of 272 in Idaho.
NPI age
7 years
Enumerated 2018-10-12
Primary specialty
Physical Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-10-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 272 active physical therapy assistant providers in Idaho.

NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-10Enumerated in NPPES
2018 2026

Where they practice

Practice location
1127 Caldwell Blvd
Nampa, ID 836511701
📞 2094654935
Mailing address
2697 W Los Flores Ct
Meridian, ID 836465468
📞 1208884382

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    ID license #5839 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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