Shannen M. Kirchner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01476200 Issued in NJ

Practice address

218 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-2109

Phone

(973) 359-0777

Fax

(973) 359-0778

NPI assigned

Dec 3, 2012

Sex

Female

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Columbia University College of Physicians and Surgeons, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Patricia Donovan Martinez, P.T.

  • Physical Therapist
  • Sebastopol, CA
  • NPI 1326180175
  Medicare reassignment
• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)
• Sebastopol Physical Therapy and Pilates Studio

  • Physical Therapist
  • Sebastopol, CA
  • NPI 1538201546
  NPD (past)

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1699010678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "address_2": "102",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 RIDGEDALE AVE",
            "address_2": "SUITE 103",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272109",
            "telephone_number": "973-359-0777",
            "fax_number": "973-359-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHNER",
        "first_name": "SHANNEN",
        "middle_name": "M.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01476200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danyal Farooq Khan, M.D.
• Khanna Eye Associates, LLC
• Hanan Khorchid
• Heejin Michelle Kim, M.D.
• Leah Samantha Kinder, LPC, LMFT
• Kjell a Youngren MD
• Morgan Taylor Kline, ANP
• Knecht Chiropractic LLC
• Gina Kontos, OTR
• Clara Seihyun Koo, MD

• Physical Therapist in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.