Active NPI
Renee Shuder
- Neurology Physical Therapist
- Boston, MA
National Provider Identifier
1225687064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- Practice address
- 60 Staniford St
Boston, MA 02114-2523 - Phone
- (617) 726-2961
- NPI assigned
- Sep 4, 2019
- 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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | Primary |
Addresses
Primary practice location
60 Staniford St
Boston, MA 02114-2523
Mailing address
15 Parkman Street
Wang 134
Boston, MA 02114
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1225687064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PARKMAN STREET",
"address_2": "WANG 134",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 STANIFORD ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142523",
"telephone_number": "617-726-2961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUDER",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.