Mary E Shea, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11763-24 Issued in WI

Practice address

2175 E Park Ave
Chippewa Falls, WI 54729-3511

Phone

(715) 720-6775

NPI assigned

Sep 4, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• NSH Altoona LLC

  • Skilled Nursing Facility
  • Altoona, WI
  • NPI 1760900559
  NPD (past)

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1902155179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 JUPITER AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547030829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 E PARK AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293511",
            "telephone_number": "715-720-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11763-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124068689",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Seiberling, OTR/CHT
• Kristen Lee Seidler, MS, SAC, PC-IT
• Serenity House Inc.
• Brian J. Serres, DDS
• Ronald Brian Sershon, D.D.S.
• Jeffrey Shepich, MD
• Mechele Lee Shipman, EDD, MSW, LCISW LCSW
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Shoptikal LLC

• Physical Therapist in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Physical Therapist in Wisconsin

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