Shantelle B Cyr, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4556 Issued in NH

Practice address

143 Raymond Rd
Candia, NH 03034

Phone

(603) 483-3355

Fax

(603) 483-3357

NPI assigned

Jun 19, 2015

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coppola Physical Therapy and Fitness Gym LLC

  • Physical Therapy Clinic/Center
  • Candia, NH
  • NPI 1346481561

  NH, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Coppola Physical Therapy Ferry

  • Physical Therapist
  • Concord, NH
  • NPI 1982988192
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Coppola Physical Therapy and Fitness Gym LLC 21 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2019.

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1659753226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 RAYMOND RD",
            "city": "CANDIA",
            "state": "NH",
            "postal_code": "030342133",
            "telephone_number": "603-483-3355",
            "fax_number": "603-483-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RAYMOND RD",
            "city": "CANDIA",
            "state": "NH",
            "postal_code": "03034",
            "telephone_number": "603-483-3355",
            "fax_number": "603-483-3357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Commerce Park",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "04605",
            "country_code": "US",
            "telephone_number": "207-667-2422",
            "fax_number": "207-667-0135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CYR",
        "first_name": "SHANTELLE",
        "middle_name": "B",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Barrett, MA, LCMHC
• Jenna Cameron
• Candia School District
• Joseph W Cartier, NRP
• Coppola Physical Therapy and Fitness Gym LLC
• Eileen Ross, Edm, Lcmhc, LLC
• Christopher Francis, DPT
• Devin Maye Funk, DPT
• Samantha M Futch, DPT
• Irene Gordon, PT,DPT

• All providers in Candia, NH
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.