Individual provider Active NPI

Shannon Hardy

  • Physical Therapist
  • Winchester, MA
National Provider Identifier
1285512392
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
88572 Issued in MA
Practice address
259 Swanton St
Winchester, MA 01890-4301
Phone
(781) 560-2465
NPI assigned
Aug 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 88572 MA Primary

Addresses

Primary practice location

259 Swanton St
Winchester, MA 01890-4301

Mailing address

259 Swanton St
Winchester, MA 01890-4301
Phone (781) 560-2465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910002744 MA Practitioner - Physical Therapist in Private Practice 6103329776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Physical Therapy and Wellness, Inc.Group PAC ID 8123345139, 26 clinicians

Practice addresses (Care Compare)

259 Swanton St
Suite a
Winchester, MA 01890-4301
Phone (781) 570-2454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Physical Therapy & Wellness, Inc Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients

Locations

275 Mystic Ave
Ste C
Medford, MA 02155
Phone (781) 572-2965

259 Swanton St
Ste A
Winchester, MA 01890
Phone (781) 560-2465

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1285512392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 SWANTON ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904301",
            "telephone_number": "781-560-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 SWANTON ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904301",
            "telephone_number": "781-560-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "88572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.