Jeanne-Marie Shanline, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

40QA01216500 Issued in NJ

Practice address

200 White Horse Pike Ste 200
Haddon Heights, NJ 08035-1737

Phone

(609) 221-2668

NPI assigned

May 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jeanne-Marie Lanza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1811257199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 GREEN ACRE WAY",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282704",
            "telephone_number": "609-221-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE HORSE PIKE STE 200",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351737",
            "telephone_number": "609-221-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANLINE",
        "first_name": "JEANNE-MARIE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "DE",
            "license": "J1-0002383",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA01216500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE-MARIE",
            "last_name": "LANZA",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raymond Joseph Schlitt, MD
• Stephanie N Schlitt, MD
• Mark W Scott, DDS
• Jamaal H Shaban, D.O.
• Nina N Shaigany, MD
• Howard I Siegel, M.D.
• James I Silberman, D.D.S.
• Steven E Silver, MD
• Norman P Silvers, M.D.
• Karen Lee Simon, LCSW

• Pediatric Physical Therapist in Haddon Heights, NJ
• Providers in Haddon Heights, NJ by specialty
• Pediatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.