Shaunna M. Crockwell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007729 Issued in CT

Practice address

90 Grove St
Suite 105
Ridgefield, CT 06877-4114

Phone

(203) 431-8471

Fax

(203) 438-9543

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841222866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041714",
            "telephone_number": "203-740-0020",
            "fax_number": "203-775-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 GROVE ST",
            "address_2": "SUITE 105",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774114",
            "telephone_number": "203-431-8471",
            "fax_number": "203-438-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKWELL",
        "first_name": "SHAUNNA",
        "middle_name": "M.",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Corcoran
• John Louis Costa, M.D.
• Elizabeth Courtney-Seidler, PH.D.
• Diane Cox-Lindenbaum
• Laura Susan Craighead, LCSW
• Aaron Michael Crook
• Elysa Cruse
• CT Scoliosis and Spine Rehab, LLC
• Grace D'Onofrio, MS NCC LPC
• Jay D'Orso, MD

• Physical Therapist in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Physical Therapist in Connecticut

• 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.

Verify at the official NPI Registry.