Active NPI
Sean O'Shaughnessy, DPT
- Physical Therapist
- Woburn, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22859
- Practice address
- 300 Tradecenter
Suite 1650
Woburn, MA 01801-1883 - Phone
- (781) 935-2655
- Fax
- (781) 935-9097
- NPI assigned
- Feb 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22859 | MA | Primary |
Addresses
Primary practice location
300 Tradecenter
Suite 1650
Woburn, MA 01801-1883
Mailing address
210 Commerce Way
Suite 120
Portsmouth, NH 03801-8200
Phone (603) 427-8066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22859 | Other | MA | LIC # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Tradecenter
Suite 1650
Woburn, MA 01801-1884
Phone (781) 935-2655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22859 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proex Physical Therapy, LLC | Current | Accepting new patients | |
| Proex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Proex Physical Therapy, LLC | Past | Accepting new patients | |
| Competitive Edge Physical Therapy & Sports Training, LLC | Physical Therapist | Past | Accepting new patients |
Locations
110 Haverhill Rd
Ste 292
Amesbury, MA 01913
Phone (978) 834-6392
11 Water St
Ste 3A
Arlington, MA 02476
Phone (781) 777-1416
44 School St
Rm 350
Boston, MA 02108
Phone (617) 213-1336
607 Boylston St
Fl 4
Boston, MA 02116
Phone (857) 240-0909
10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999
400 Franklin St
Ste 200
Braintree, MA 02184
Phone (781) 214-6544
63 Pleasant St
Fl 2
Watertown, MA 02472
Phone (617) 213-1335
300 Tradecenter
Ste 1650
Woburn, MA 01801
Phone (781) 925-7643
210 Commerce Way
Ste 120
Portsmouth, NH 03801
Phone (603) 427-8066
576 Broadhollow Rd
Melville, NY 11747
Organizations & group practices 4
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.
-
- Physical Therapist
- Woburn, MA
- NPI 1831190453
-
- Occupational Therapist
- Boston, MA
- NPI 1508757956
-
- Physical Therapy Clinic/Center
- Norwell, MA
- NPI 1366502023
Physical Therapist
-
- Physical Therapy Clinic/Center
- West Yarmouth, MA
- NPI 1649023599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1447799341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 COMMERCE WAY",
"address_2": "SUITE 120",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038018200",
"telephone_number": "603-427-8066",
"fax_number": "603-501-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TRADECENTER",
"address_2": "SUITE 1650",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011883",
"telephone_number": "781-935-2655",
"fax_number": "781-935-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SHAUGHNESSY",
"first_name": "SEAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC #",
"identifier": "22859",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.