Individual provider Active NPI

Shaunna Marie Houle, DPT

  • Physical Therapist
  • West Lebanon, NH
National Provider Identifier
1508910878
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3201 Issued in NH
Practice address
103 S Main St
West Lebanon, NH 03784-1618
Phone
(603) 298-5595
Fax
(603) 298-5205
NPI assigned
Jan 23, 2007
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3201 NH Primary

Addresses

Primary practice location

103 S Main St
West Lebanon, NH 03784-1618

Mailing address

1066 Holmes Rd
Pittsfield, MA 01201-7146
Phone (802) 359-3106

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sustaining Solutions Physical Therapy PLLC Physical Therapist Current Accepting new patients
Physical Therapy Associates of Schenectady, P.C. Physical Therapist CurrentSince Feb 25, 2020 Accepting new patients
Physical Therapy Associates of Schenectady, PC Physical Therapist CurrentSince Feb 25, 2020 Accepting new patients
Weeks and Gowen Physical Therapy Associates Inc Physical Therapist PastSince Oct 22, 2024 Accepting new patients

Locations

740 Williams St
Ste 1
Pittsfield, MA 01201
Phone (413) 243-3477

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1508910878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 HOLMES RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017146",
            "telephone_number": "802-359-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841618",
            "telephone_number": "603-298-5595",
            "fax_number": "603-298-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULE",
        "first_name": "SHAUNNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.