Active NPI
Susan Alice Shamel
- Physical Therapist
- Reading, MA
National Provider Identifier
1801848106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2101
- Practice address
- 20 Pondmeadow Dr
Suite 108
Reading, MA 01867-3218 - Phone
- (781) 944-6564
- Fax
- (781) 944-4764
- NPI assigned
- May 16, 2006
- 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 | 2101 | MA | Primary |
Addresses
Primary practice location
20 Pondmeadow Dr
Suite 108
Reading, MA 01867-3218
Mailing address
20 Pondmeadow Dr
Suite 108
Reading, MA 01867-3218
Phone (781) 944-6564
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y66494 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0034118 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 468832 | Other | MA | TUFTS |
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 |
|---|---|---|---|
| Reading Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Reading, MA
- NPI 1639120959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801848106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PONDMEADOW DR",
"address_2": "SUITE 108",
"city": "READING",
"state": "MA",
"postal_code": "018673218",
"telephone_number": "781-944-6564",
"fax_number": "781-944-4764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PONDMEADOW DR",
"address_2": "SUITE 108",
"city": "READING",
"state": "MA",
"postal_code": "018673218",
"telephone_number": "781-944-6564",
"fax_number": "781-944-4764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMEL",
"first_name": "SUSAN",
"middle_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "2101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y66494",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0034118",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "468832",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reading, 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.