Shellane Prout, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19528 Issued in MA

Practice address

348 Cooley St Unit 10
Springfield, MA 01128-1144

Phone

(413) 355-5700

NPI assigned

Jun 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.19 of 100Reported as group

Quality

86.04

Improvement activities

40

Cost

76.23

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Performance Rehabilitation of Western New England LLC

  dba ATI Physical Therapy of Western Massachusetts

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063
  Medicare reassignment Care Compare group
• Live Every Day

  • Prosthetic/Orthotic Supplier
  • Weatogue, CT
  • NPI 1306267034
  NPD (past)
• Live Every Day L.L.C

  • Prosthetic/Orthotic Supplier
  • Suffield, CT
  • NPI 1598958720
  NPD (past)
• Physical Therapy Plus LLC

  dba Enfield Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Enfield, CT
  • NPI 1730113051

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1215222492",
    "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": "348 COOLEY ST UNIT 10",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011281144",
            "telephone_number": "413-355-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Hazard Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060824521",
            "country_code": "US",
            "telephone_number": "860-265-2571",
            "fax_number": "860-265-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROUT",
        "first_name": "SHELLANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT LICENSE",
            "identifier": "009353",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Nichole Pronovost
• Tracy Pronovost
• Latoya Chermaine Prophet
• Jared Proulx
• Kathryn A Proulx, CNP, PH.D.
• Taryn Prout
• Kirsten Lee Prouty, MA, CCC-SLP
• Raeanne Provencher
• Christina Gail Provenza, MD
• Providence Diagnostic Imaging, Inc.

• Physical Therapist in Springfield, MA
• Providers in Springfield, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.