Individual ProviderShannon MiesPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address16455 Statesville Rd Ste 300, Huntersville, NC 28078-7139(704) 801-3719PECOS EnrollmentBased on the most recent information from CMS, provider Shannon Mies does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1760963722Provider TypeIndividualFull NameMies, ShannonCredentialPT ,DPTGenderFemaleSole ProprietorNoEnumeration Date8/27/2018Last Updated9/5/2025Contact InformationPractice LocationPractice Address16455 Statesville Rd Ste 300, Huntersville, NC 28078-7139Phone(704) 801-3719FaxUnlisted FaxMailing LocationMailing Address16455 Statesville Rd Ste 300, Huntersville, NC 28078-7139PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseP20811North CarolinaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT295284CaliforniaProvider IdentifiersIDDescriptionIssuerID0397730029DescriptionOtherIssuerNSC #North Carolina