Mary Ellen Shanahan, PT, OCS, CERT. MDT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

0700100410 Issued in IL

Practice address

6500 W 65TH St
Chicago, IL 60638-4962

Phone

(708) 496-1515

Fax

(708) 496-3422

NPI assigned

Oct 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1184811481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W 65TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384962",
            "telephone_number": "708-496-1515",
            "fax_number": "708-496-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W 65TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384962",
            "telephone_number": "708-496-1515",
            "fax_number": "708-496-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "MARY ELLEN",
        "name_prefix": "Ms.",
        "credential": "PT, OCS, CERT. MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "0700100410",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roohanguiz Shamsai, M.D.
• Bushraa Shamshuddin, MD
• Tanveer Y Shamsi, M.D
• Ola Shana
• Wendy Shanahan-Richards, MD
• May Shanahan
• Megan Shanahan, OTD, OTR/L
• Zoe L Shancer, MD
• Laura Shandonay, RPH, BCPS
• Bridget Shane, PSYD

• Orthopedic Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.