Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Baker Easingwood, PTA

Individual provider Physical Therapy Assistant · NPI 1003404583

Shannon Baker Easingwood, PTA is a Physical Therapy Assistant in Myrtle Beach, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Phone: (843) 903-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4530 (SC)

Record details

NPI number1003404583
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 9, 2021
Last updated in NPPESJanuary 9, 2021
Certification dateJanuary 9, 2021

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