Active NPI
Shannon Cormier
- Physical Therapist
- Woburn, MA
National Provider Identifier
1033943030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27925
- Practice address
- 400 Tradecenter Ofc 5864
Woburn, MA 01801-7452 - Phone
- (603) 880-0448
- NPI assigned
- Aug 30, 2024
- Last updated
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27925 | MA | Primary |
Addresses
Primary practice location
400 Tradecenter Ofc 5864
Woburn, MA 01801-7452
Mailing address
522 Amherst St Ste 23
Nashua, NH 03063-1019
Phone (603) 880-0448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27925 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1033943030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 AMHERST ST STE 23",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631019",
"telephone_number": "603-880-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TRADECENTER OFC 5864",
"city": "WOBURN",
"state": "MA",
"postal_code": "018017452",
"telephone_number": "603-880-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMIER",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-30",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "27925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.