Shane M Johnston

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4514 Issued in NH

Practice address

920 Lafayette Rd Unit 2
Seabrook, NH 03874-4353

Phone

(603) 474-2259

Fax

(603) 474-2253

NPI assigned

May 14, 2019

Last updated

May 14, 2019By the provider in NPPES

Sex

Male

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 NH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Rehabilitation Network LLCGroup PAC ID 7618872086, 105 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Pinnacle Rehabilitation Network, LLC

  dba Pinnacle Physical Therapy

  • Physical Therapist
  • Plaistow, NH
  • NPI 1659322832
  Medicare reassignment Care Compare group NPD
• Pinnacle Rehabilitation Network, LLC

  dba Hampton Physical Therapy

  • Physical Therapist
  • Hampton, NH
  • NPI 1851482897
  NPD
• Pinnacle Rehabilitation Network LLC

  dba Waypoint Physical Therapy

  • Physical Therapist
  • Freeport, ME
  • NPI 1235940388
  NPD
• Pinnacle Rehabilitation Network LLC

  dba Rye Physical Therapy

  • Physical Therapist
  • Rye, NH
  • NPI 1689396210
  NPD (past)

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1609432707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LAFAYETTE RD UNIT 2",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038744353",
            "telephone_number": "603-474-2259",
            "fax_number": "603-474-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SHANE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Gray
• Keri Ann Greely, MSPT, CEIS
• HCA Health Services of New Hampshire, Inc. (Seabrook Emergency, a department of Portsmouth Regional Hospital)
• Integrated Gastroenterology Consultants Seacoast PLLC
• John J. Maloney, Jr. D.D.S.
• Sarah Marie Jones
• Nancy Wanjiru Kamau, PHARMACIST
• Paul David Kelly
• Sharon M Kelly, CPHT
• Amber Kerby, M.S.

• Physical Therapist in Seabrook, NH
• Providers in Seabrook, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.

Verify at the official NPI Registry.