Julie Shane

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18691 Issued in MA

Practice address

110 Canal St Ste 3
Lowell, MA 01852-4589

Phone

(617) 491-0264

NPI assigned

Sep 17, 2012

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 MA, IL, TX3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Imago Rehab, IncGroup PAC ID 1850785056, 16 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.

• Imago Rehab, Inc

  • Neurorehabilitation Occupational Therapist
  • Lowell, MA
  • NPI 1205407236

  IL, Physical Therapist, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1386994499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CANAL ST STE 3",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CANAL ST STE 3",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524589",
            "telephone_number": "617-491-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANE",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arsh Shah, OD
• Priyal Shah
• Shital Shah, RPH
• Sneha Shah, MD
• Yash Milind Shah, MA, PGD
• Jennifer Shapiro, LICSW
• Rachel Lynn Shapiro
• Erin Marie Shapleigh
• Sandhya Sharma, M ED
• Suparna Sharma, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.