Organization Active NPI

Lehigh Valley Wound Specialists

  • Physical Medicine & Rehabilitation Physician
  • Bethlehem, PA
National Provider Identifier
1083313662
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LEHIGH VALLEY WOUND SPECIALISTS
Practice address
1930 Mark Twain Cir
Bethlehem, PA 18017-1540
Phone
(610) 349-2381
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Thomas Joseph Shaughnessy, PT, DPT, CWSNPI 1164828620
Title
Certified Wound Care Specialist
Phone
(610) 349-2381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1930 Mark Twain Cir
Bethlehem, PA 18017-1540

Mailing address

1930 Mark Twain Cir
Bethlehem, PA 18017-1540
Phone (610) 349-2381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230715000030 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8426418914 Receives reassigned benefits from 2 practitioners
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

1275 S Cedar Crest Blvd
Ste 2B
Allentown, PA 18103
Phone (484) 274-6883

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1083313662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MARK TWAIN CIR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180171540",
            "telephone_number": "610-349-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARK TWAIN CIR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180171540",
            "telephone_number": "610-349-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY WOUND SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "SHAUGHNESSY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CERTIFIED WOUND CARE SPECIALIST",
        "authorized_official_telephone_number": "610-349-2381",
        "authorized_official_credential": "PT, DPT, CWS"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.