Individual provider Active NPI

Susan Shanley, RPT

  • Physical Therapist
  • Sandwich, MA
National Provider Identifier
1073669826
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4318 Issued in MA
Practice address
61 Quaker Meeting House Rd
Sandwich, MA 02563-2400
Phone
(508) 477-8550
Fax
(508) 477-6989
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4318 MA Primary

Addresses

Primary practice location

61 Quaker Meeting House Rd
Sandwich, MA 02563-2400

Mailing address

349 Old Jail Lane
Barnstable, MA 02630

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sandwich Physical Therapy, Inc Physical Therapist CurrentSince Jul 1, 1989 Accepting new patients

Locations

61 Quaker Meeting House Rd
Sandwich, MA 02563
Phone (508) 477-8550

61 Quaker Meeting House Rd
Ste 4
Sandwich, MA 02563
Phone (508) 477-8550

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1073669826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 OLD JAIL LANE",
            "city": "BARNSTABLE",
            "state": "MA",
            "postal_code": "02630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 QUAKER MEETING HOUSE RD",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632400",
            "telephone_number": "508-477-8550",
            "fax_number": "508-477-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANLEY",
        "first_name": "SUSAN",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "4318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.