Shaun Correia
Individual provider Active NPI Physical Therapist · Buzzards Bay, MA
NPI 1558044594 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1558044594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 28061 (MA)
- Practice address
- 85 Main St
Buzzards Bay, MA 02532-3224 - Phone
- (774) 247-4868
- NPI assigned
- Aug 8, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physical Therapy U Inc
Practice addresses (Care Compare)
85 Main St
Buzzards Bay, MA 02532-3224
Phone (774) 247-4868
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241205002319 | MA | Practitioner - Physical Therapist in Private Practice | 3779019344 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28061 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Fern Practice, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
75A Scotland Blvd
Bridgewater, MA 02324
Phone (508) 697-2000
85 Main St
Buzzards Bay, MA 02532
Phone (774) 247-4868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28061 | MA | Yes |
Addresses
Primary practice location
85 Main St
Buzzards Bay, MA 02532-3224
Mailing address
85 Main St
Buzzards Bay, MA 02532-3224
Phone (774) 247-4868
Other providers in Buzzards Bay, MA
- Jolene Cicchese
- Joshua Cole
- Commonwealth of Massachusetts
- Joleen Teresa Connolly
- Denise A Connors
- John J. Costa
- Dale-Ann Cotter
- Aidan Crone
- Patrick Davin
- Stephen Douglas Defranc
All providers in Buzzards Bay, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.