Active NPI
Shannon Cullagh, PT
- Physical Therapist
- Norfolk, MA
National Provider Identifier
1720118383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9078
- Practice address
- 227 Dedham St
Physical Therapy and Sports Rehab Inc
Norfolk, MA 02056 - Phone
- (508) 384-7020
- Fax
- (508) 384-7025
- NPI assigned
- Mar 6, 2007
- 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 | 9078 | MA | Primary |
Addresses
Primary practice location
227 Dedham St
Physical Therapy and Sports Rehab Inc
Norfolk, MA 02056
Mailing address
825 Washington St
Ste 280 Physical Therapy and Sports Rehab Inc
Norwood, MA 02062
Phone (781) 769-2040
Other names 1
- Ms. Shannon Mary Gilhooly
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy and Sports Rehab, Inc | Past | Accepting new patients | |
| Physical Therapy & Sports Rehab Inc | 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.
-
- Physical Therapy Clinic/Center
- Norwood, MA
- NPI 1073681300
Physical Therapist
-
- Occupational Therapist
- Norwood, MA
- NPI 1932539269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720118383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 WASHINGTON ST",
"address_2": "STE 280 PHYSICAL THERAPY AND SPORTS REHAB INC",
"city": "NORWOOD",
"state": "MA",
"postal_code": "02062",
"telephone_number": "781-769-2040",
"fax_number": "781-769-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 DEDHAM ST",
"address_2": "PHYSICAL THERAPY AND SPORTS REHAB INC",
"city": "NORFOLK",
"state": "MA",
"postal_code": "02056",
"telephone_number": "508-384-7020",
"fax_number": "508-384-7025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLAGH",
"first_name": "SHANNON",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "9078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "GILHOOLY",
"middle_name": "MARY",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Norfolk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.