Active NPI
Shawn Jeffrey Wells, PTA
- Physical Therapist
- Milford, MA
National Provider Identifier
1659579480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8080
- Practice address
- 26 Asylum St
Milford, MA 01757 - Phone
- (508) 473-0400
- Fax
- (508) 473-3440
- NPI assigned
- Jul 3, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 | 8080 | MA | Primary |
Addresses
Primary practice location
26 Asylum St
Milford, MA 01757
Mailing address
95 Crapo St
Apt #1
Bridgewater, MA 02324
Phone (508) 807-1399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9723251 | Medicaid | MA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659579480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 CRAPO ST",
"address_2": "APT #1",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "02324",
"telephone_number": "508-807-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 ASYLUM ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "01757",
"telephone_number": "508-473-0400",
"fax_number": "508-473-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "SHAWN",
"middle_name": "JEFFREY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "8080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9723251",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.