Shannon O'Malley

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

3500 Civic Center Blvd
Philadelphia, PA 19104-4395

Phone

(610) 357-2289

NPI assigned

Sep 4, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1780419309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SPRING GARDEN ST APT 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191305011",
            "telephone_number": "610-357-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044395",
            "telephone_number": "610-357-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley O'Malley
• Bert W O'Malley Jr., MD
• Blaise Yasmin O'Malley, MD, MPH
• Kaitlin Elizabeth O'Malley, MD
• Meghan Grace O'Malley, CF-SLP
• Tara O'Malley
• Cameron O'Mara, LCSW
• Lauren Chase O'Mara, MD
• Linda O'Mara
• Tina M O'Mara, CRNP

• Clinical Exercise Physiologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Exercise Physiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.