Shannon Erika Tevenan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24494 Issued in MA

Practice address

235 Cypress St Ste 110
Brookline, MA 02445-6777

Phone

(617) 860-6430

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1386290534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CYPRESS ST",
            "address_2": "STE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456777",
            "telephone_number": "617-860-6430",
            "fax_number": "617-731-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CYPRESS ST STE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456777",
            "telephone_number": "617-860-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEVENAN",
        "first_name": "SHANNON",
        "middle_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@postpt.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "address_1": "235 Cypress St Ste 110",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024456777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samuel Tencer, DMD
• Rachel Tenenbein, MD
• Pamela Ann Terreri, APRNBC
• Kerri Ann Tester, LICSW
• Amanda Lynn Tetreault, MSPT
• Sangnya Thaker, PHARMD
• Prachi Thakor, DPT
• The Balance Place LLC
• The Brookline Community Mental Health Center
• The Center for Pediatric Dental Care

• Physical Therapist in Brookline, MA
• Providers in Brookline, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.