Active NPI
Shannon Jean Loffredo, DPT
- Physical Therapist
- Canterbury, CT
National Provider Identifier
1659860153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011087
- Practice address
- 179 Buck Hill Rd
Canterbury, CT 06331-1247 - Phone
- (401) 862-9278
- NPI assigned
- May 9, 2018
- Sex
- Female
- 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 | 011087 | CT | Primary |
Addresses
Primary practice location
179 Buck Hill Rd
Canterbury, CT 06331-1247
Mailing address
179 Buck Hill Rd
Canterbury, CT 06331-1247
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525824000000",
"number": "1659860153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 BUCK HILL RD",
"city": "CANTERBURY",
"state": "CT",
"postal_code": "063311247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 BUCK HILL RD",
"city": "CANTERBURY",
"state": "CT",
"postal_code": "063311247",
"telephone_number": "401-862-9278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFFREDO",
"first_name": "SHANNON",
"middle_name": "JEAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2018-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "011087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.