Individual provider Active NPI

Richard Scott Shanks Jr.

  • Physical Therapy Assistant
  • Boylston, MA
National Provider Identifier
1871104471
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
8819 Issued in MA
Practice address
81 Shrewsbury St Ste 1
Boylston, MA 01505-1701
Phone
(774) 614-1322
Fax
(774) 614-1171
NPI assigned
Aug 17, 2020
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 8819 MA Primary

Addresses

Primary practice location

81 Shrewsbury St Ste 1
Boylston, MA 01505-1701

Mailing address

81 Shrewsbury St Ste 1
Boylston, MA 01505-1701
Phone (774) 614-1322

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

LicenseStateTypeSpecialty
8819MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardy Physical Therapy Rehabilitation Services Inc CurrentSince Aug 23, 2020 Accepting new patients
Ethos Rehabilitation Inc Physical Therapy Assistant PastSince Apr 1, 2022 Accepting new patients

Locations

205 Washington St
Hudson, MA 01749
Phone (978) 562-3114

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1871104471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SHREWSBURY ST STE 1",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051701",
            "telephone_number": "774-614-1322",
            "fax_number": "774-614-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SHREWSBURY ST STE 1",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051701",
            "telephone_number": "774-614-1322",
            "fax_number": "774-614-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "8819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boylston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.