Active NPI
Shannon Nixon
- Physical Therapist
- Edison, NJ
National Provider Identifier
1639073430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 9 Lincoln Hwy Ste E
Edison, NJ 08820-3966 - Phone
- (732) 321-1855
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Sex
- Unspecified or another gender identity
- 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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
9 Lincoln Hwy Ste E
Edison, NJ 08820-3966
Mailing address
23 Poe Ave
Wyncote, PA 19095-2903
Phone (856) 426-9247
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Boro Physical Therapy Associates, PA | Past | Accepting new patients | |
| Twin Boro Physical Therapy Associates PA | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Twin Boro Physical Therapy
- Physical Therapist
- Clark, NJ
- NPI 1811937527
-
dba Twin Boro Physical Therapy
- Occupational Therapist
- Newark, NJ
- NPI 1659874857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1639073430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 POE AVE",
"city": "WYNCOTE",
"state": "PA",
"postal_code": "190952903",
"telephone_number": "856-426-9247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 LINCOLN HWY STE E",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203966",
"telephone_number": "732-321-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.