Active NPI
Megan Elizabeth Shannon
- Physical Therapist
- Somerville, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL27681
- Practice address
- 14 McGrath Hwy Unit 5
Somerville, MA 02143-4505 - Phone
- (617) 284-9418
- NPI assigned
- Oct 18, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL27681 | MA | Primary |
| Physical Therapist | 225100000X | 40QA02040400 | NJ | |
| Physical Therapist | 225100000X | 303348 | CA |
Addresses
Primary practice location
14 McGrath Hwy Unit 5
Somerville, MA 02143-4505
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000
Other practice location 2
126 Avocado Ave Ste 107
Perris, CA 92571-2605
Phone (951) 943-8105
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shannonm@sjhmc.org | St. Joseph's University Medical Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.19 of 100
- Quality
- 86.04
- Improvement activities
- 40
- Cost
- 76.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02040400 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Carl Gustafson LLC | Physical Therapist | Past | Accepting new patients |
Locations
450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781
1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104
14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142
600 Central Ave
Ste C
Lake Elsinore, CA 92530
126 Avocado Ave
Ste 107
Perris, CA 92571
Phone (951) 564-3080
9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962
5807 University Ave
Ste 6
San Diego, CA 92115
Phone (619) 500-0109
1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180
29645 Rancho California Rd
Ste 121
Temecula, CA 92591
Phone (951) 676-0296
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
14 McGrath Hwy
Unit 5
Somerville, MA 02143
Phone (617) 284-9418
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
13242 Aurora Ave N
Ste 103
Seattle, WA 98133
Phone (206) 420-0221
201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066
Organizations & group practices 11
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
- Los Gatos, CA
- NPI 1689162166
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
-
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
- Physical Therapy Clinic/Center
- Bellevue, WA
- NPI 1700100344
Physical Therapist
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Physical Therapist
-
- Physical Therapist
- Perris, CA
- NPI 1023086790
-
- Physical Therapist
- Temecula, CA
- NPI 1679541320
-
- Physical Therapist
- Wellesley, MA
- NPI 1356366082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1174249494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MCGRATH HWY UNIT 5",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021434505",
"telephone_number": "617-284-9418"
}
],
"practiceLocations": [
{
"address_1": "703 Main St",
"address_purpose": "LOCATION",
"city": "Paterson",
"state": "NJ",
"postal_code": "075032621",
"country_code": "US",
"telephone_number": "973-754-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "126 Avocado Ave Ste 107",
"address_purpose": "LOCATION",
"city": "Perris",
"state": "CA",
"postal_code": "925712605",
"country_code": "US",
"telephone_number": "951-943-8105",
"fax_number": "951-943-8106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANNON",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL27681",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02040400",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303348",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shannonm@sjhmc.org",
"affiliation": "Y",
"affiliationName": "St. Joseph's University Medical Center",
"address_1": "703 Main St",
"city": "Paterson",
"state": "NJ",
"country_code": "US",
"postal_code": "075032621",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.