Individual provider Active NPI

Shannon Greenwald, PT, DPT

  • Physical Therapist
  • Little Falls, NJ
National Provider Identifier
1366912982
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01957900 Issued in NJ
Practice address
44 Main St Ste 4
Little Falls, NJ 07424-1572
Phone
(973) 860-0550
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01957900 NJ Primary
Physical Therapist 225100000X 043599-1 NY

Addresses

Primary practice location

44 Main St Ste 4
Little Falls, NJ 07424-1572

Mailing address

44 Main St Ste 4
Little Falls, NJ 07424-1572
Phone (973) 860-0550

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01957900NJMDPhysical Therapist
043599-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Jan 24, 2019 Accepting new patients
Aim Orthopedics LLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients

Locations

1376 Pompton Ave
Cedar Grove, NJ 07009
Phone (201) 262-6060

44 Main St
Ste 4
Little Falls, NJ 07424
Phone (973) 860-0550

269 W 16th St
New York, NY 10011
Phone (646) 841-1411

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

307 5th Ave
Fl 6
New York, NY 10016
Phone (646) 790-7464

Organizations & group practices 2

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": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1366912982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MAIN ST STE 4",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241572",
            "telephone_number": "973-860-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MAIN ST STE 4",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241572",
            "telephone_number": "973-860-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "SHANNON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01957900",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043599-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.