Shenan Marie Williams, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1361-019 Issued in WI

Practice address

N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852

Phone

(262) 376-7676

Fax

(262) 376-7808

NPI assigned

May 4, 2007

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 names 1

• Shenan Marie Howes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265644751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W STONEY RIDGE WAY",
            "city": "SAUKVILLE",
            "state": "WI",
            "postal_code": "530801733",
            "telephone_number": "262-536-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N27W5707 LINCOLN BLVD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122852",
            "telephone_number": "262-376-7676",
            "fax_number": "262-376-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHENAN",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1361-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENAN",
            "last_name": "HOWES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dennis Clark Weeden, MSSW,LCSW, CEAP
• Kelly Lynn Welsh, RDN
• Zachary Arnold Wickert, DC
• Abigail Joy Wilhelme, PT, DPT
• Kenneth R Wilka, A.T.C.
• Wisconsin CVS Pharmacy LLC
• Marietta Magdalena Wojtecka
• Rebekah Lynn Wolff
• Jennifer L Wooten, OTR
• Lyndsay Young

• Physical Therapy Assistant in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.