Active NPI
Susan Shanley, RPT
- Physical Therapist
- Sandwich, MA
National Provider Identifier
1073669826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4318
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandwich Physical Therapy, Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Sandwich, MA
- NPI 1528113750
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.