Active NPI
Shannon Crehan, PT, DPT
- Physical Therapist
- Raritan, NJ
National Provider Identifier
1780515379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02114900
- Practice address
- 1130 Route 202
Raritan, NJ 08869-1490 - Phone
- (908) 675-2753
- NPI assigned
- May 25, 2026
- 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 | 40QA02114900 | NJ | Primary |
Addresses
Primary practice location
1130 Route 202
Raritan, NJ 08869-1490
Mailing address
271 Clubhouse Dr
Middletown, NJ 07748-1322
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02114900 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1780515379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 CLUBHOUSE DR",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077481322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 ROUTE 202",
"city": "RARITAN",
"state": "NJ",
"postal_code": "088691490",
"telephone_number": "908-675-2753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREHAN",
"first_name": "SHANNON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-25",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02114900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raritan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.