Shanna Marie Duellman, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11143 Issued in MN

Practice address

200 First Street SW
Department of Physical Medicine & Rehabilitation
Rochester, MN 55905

Phone

(507) 266-8721

NPI assigned

Jun 22, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: sbritt131851@ehrdirect.mayoclinicmsg.org

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1720573777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FIRST STREET SW",
            "address_2": "DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FIRST STREET SW",
            "address_2": "DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55905",
            "telephone_number": "507-266-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUELLMAN",
        "first_name": "SHANNA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2021-10-12",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbritt131851@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 First Street SW",
            "address_2": "Department of Physical Medicine & Rehabilitation",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amela Dudakovic, PA
• Alexis Dudash, DDS, MS
• Arkadiusz Zbigniew Dudek, M.D.
• Kika M Dudiak, M.D.
• Natasha Lynn Duellman, MSW, LGSW-PL, LADC
• Wanda Duellman
• Eduardo Duenas-Barajas, M.D.
• Joseph Duffy, M.D.
• Joseph R Duffy, SLP
• Chandrasagar Dugani, MD PHD

• Physical Therapist in Rochester, MN
• Providers in Rochester, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.