Active NPI
Shannon Lynn McDade, P.T.
- Physical Therapist
- Salisbury, MD
National Provider Identifier
1245358407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20416
- Practice address
- 200 Civic Ave
Salisbury, MD 21804-4599 - Phone
- (443) 235-3937
- NPI assigned
- Mar 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-1601 | DE | |
| Physical Therapist | 225100000X | 20416 | MD | Primary |
Addresses
Primary practice location
200 Civic Ave
Salisbury, MD 21804-4599
Mailing address
9655 Arden Station Rd
Princess Anne, MD 21853-3708
Phone (443) 235-3937
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-1601 | DE | MD | Physical Therapist |
| 20416 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1245358407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9655 ARDEN STATION RD",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "218533708",
"telephone_number": "443-235-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CIVIC AVE",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218044599",
"telephone_number": "443-235-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDADE",
"first_name": "SHANNON",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-1601",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.