Shanna L Cipriano, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA3311 Issued in ME

Practice address

57 Fairview Ave
Skowhegan, ME 04976-1414

Phone

(207) 474-7000

Fax

(207) 858-4772

NPI assigned

Feb 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shanna L Bussell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1033743562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BRIGHTON RD",
            "city": "ATHENS",
            "state": "ME",
            "postal_code": "049124627",
            "telephone_number": "207-399-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 FAIRVIEW AVE",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761414",
            "telephone_number": "207-474-7000",
            "fax_number": "207-858-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPRIANO",
        "first_name": "SHANNA",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA3311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "BUSSELL",
            "middle_name": "L",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sue A Carter, NP
• Tyler A Cates, AT
• Cedar Ridge
• Jordan Davis Chighali, LCPC
• Ganna Volodymyrivna Chugay, MD
• Amanda Clark, LCSW
• Lauren Ashley Clark, PHARM.D.
• Monica Clark, LCSW
• Mackenzie Clement, LCPC-C
• Melissa Clement, LCSW

• Physical Therapy Assistant in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.