Shannon Marie Urban, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01755100 Issued in NJ

Practice address

200 Tuckerton Rd Ste 17
Medford, NJ 08055-8806

Phone

(856) 396-2250

NPI assigned

Oct 4, 2017

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Twin Boro Physical Therapy Associates, PAGroup PAC ID 8527962950, 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Twin Boro Physical Therapy Associates PA

  dba Twin Boro Physical Therapy

  • Physical Therapist
  • Clark, NJ
  • NPI 1811937527
  Medicare reassignment Care Compare group NPD
• Liebman Wellness Center, P.C.

  • Chiropractor
  • Marlton, NJ
  • NPI 1699014654
  Medicare reassignment NPD
• Rehabclinics SPT Inc.

  • Physical Therapy Clinic/Center
  • Little Egg Harbor, NJ
  • NPI 1699113688
  Medicare reassignment NPD
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ, Orthopedic

  Medicare reassignment NPD
• Twin Boro Physical Therapy Associates, PA

  dba Twin Boro Physical Therapy

  • Occupational Therapist
  • Newark, NJ
  • NPI 1659874857
  NPD
• Rehabclinics SPT, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Chalfont, PA
  • NPI 1952009482
  NPD
• Rehabclinics SPT Inc

  dba Novacare Rehabilitation

  • Physical Therapy Clinic/Center
  • Manahawkin, NJ
  • NPI 1043271216
  NPD (past)

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1316457310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TUCKERTON RD STE 17",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558806",
            "telephone_number": "856-396-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TUCKERTON RD STE 17",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558806",
            "telephone_number": "856-396-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01755100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuckerton Operating, LLC (The Pines at Medford)
• Harry E Turse, MD
• Florence D Tursi, D.P.M.
• Jeffrey Uhl, PSYD
• Cassandra Ullrich
• Adell M Valasek
• Jessica Valloreo, PT, DPT, OCS, SCS
• Vantage Eyecare, LLC
• Ingrid Vasquez
• Melissa Anne Venturi, PT, DPT

• Orthopedic Physical Therapist in Medford, NJ
• Providers in Medford, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2023; 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.