Individual provider Active NPI

Shannon Cullagh, PT

  • Physical Therapist
  • Norfolk, MA
National Provider Identifier
1720118383
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9078 Issued in MA
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.