Ellen Klauser Shannahan, M.S.,P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10014 Issued in MA

Practice address

484 Main St
Worcester, MA 01608-1893

Phone

(508) 751-6306

NPI assigned

Oct 31, 2011

Last updated

Oct 31, 2011By the provider in NPPES

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehab Ma LLC

  • Physical Therapist
  • Waltham, MA
  • NPI 1497174437
  Medicare reassignment NPD
• Legacy Healthcare Services Massachusetts LLC

  • Physical Therapist
  • Westborough, MA
  • NPI 1962108761
  Medicare reassignment NPD
• Powerback Rehabilitation of Ma, PC

  • Physical Therapist
  • South Hamilton, MA
  • NPI 1194688341
  Medicare reassignment
• Vantage Healthcare LLC

  dba Vantage Healthcare

  • Internal Medicine Physician
  • Canton, MA
  • NPI 1366903551
  NPD (past)

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1497031850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081893",
            "telephone_number": "508-751-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081893",
            "telephone_number": "508-751-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNAHAN",
        "first_name": "ELLEN",
        "middle_name": "KLAUSER",
        "name_prefix": "Mrs.",
        "credential": "M.S.,P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "10014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Shanahan, PA-C
• Lalitha Shankar, DMD
• Srushti Shankar, MD
• Harinivaas Shanmugavel Geetha, MD
• Lakshmi Narayan N. Shanmugham, M.D
• Karen Shapiro, MED CCCSLP
• Mandy Shapiro, LCSW
• Ellen L Sharenow, PH.D.
• Rifat Manzoor Sharif, MD
• Bibi Farzana Sharifi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.