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

Shavon A Conerly, PT

Individual provider Physical Therapist · NPI 1689869174

Shavon A Conerly, PT is a Physical Therapist in Private Practice in Ridgeland, Mississippi. Qualified in 2011, 15 years ago. Practices with Drayer Physical Therapy Mississippi LLC, a 111-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Mississippi.

Years since qualifying
15
Licensed in
AL, MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

950 E County Line Rd Ste D
Ridgeland, MS 39157-1928
Phone: (601) 899-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Highland Colony Pkwy Ste 2002, Ridgeland, MS 39157-2075 — (769) 300-1101

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT4722 (MS)
Physical Therapist Taxonomy 225100000X · Licence PTH5127 (AL)

Record details

NPI number1689869174
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 8, 2007
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022
Mailing address800 Crescent Centre Dr Ste 300, Franklin, TN 37067-7285

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Drayer Physical Therapy Mississippi Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ridgeland