Active NPI
Shaun Chevalier
- Physical Therapy Assistant
- Pawtucket, RI
National Provider Identifier
1467398255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA01279
- Practice address
- 588 Pawtucket Ave
Pawtucket, RI 02860-6057 - Phone
- (401) 270-2500
- NPI assigned
- Apr 25, 2026
- Last updated
- Apr 25, 2026
- 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 Therapy Assistant | 225200000X | PTA01279 | RI | Primary |
Addresses
Primary practice location
588 Pawtucket Ave
Pawtucket, RI 02860-6057
Mailing address
107 Lauriston St
Providence, RI 02906-3603
Phone (401) 225-4196
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA01279 | RI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777075200000",
"number": "1467398255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 LAURISTON ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063603",
"telephone_number": "401-225-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "588 PAWTUCKET AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606057",
"telephone_number": "401-270-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEVALIER",
"first_name": "SHAUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-25",
"last_updated": "2026-04-25",
"certification_date": "2026-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "RI",
"license": "PTA01279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.