Active NPIIndividual provider

Shaun Mcdonald, PTA

Physical Therapy Assistant in Agawam, Massachusetts

NPI Number1053937987
Practice location
1200 Suffield St # 2933, Agawam, MA 01001-2933
Fax
—
Last updated
June 16, 2020

Shaun Mcdonald is a Physical Therapy Assistant based in Agawam, MA. Shaun Mcdonald practices in Agawam, MA and has the professional credentials of PTA. The NPI Number for Shaun Mcdonald is 1053937987 and holds a License No. 8833 (MA). The current practice location address for Shaun Mcdonald is 1200 Suffield St # 2933, Agawam, MA 01001-2933 and can be reached out via phone at 413-789-2200.

Provider Profile Details

NPI Number
1053937987
Provider Name
Shaun Mcdonald
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
1200 Suffield St # 2933, Agawam, MA 01001-2933
Phone Number
413-789-2200
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
June 16, 2020
Last Update Date
June 16, 2020
Certification Date
June 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Suffield St # 2933
Agawam, MA 01001-2933
City
Agawam
Zip
01001-2933
Phone Number
413-789-2200
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
180 Mallard Cir
Agawam, MA 01001-3417
City
Agawam
State
MA
Zip
01001-3417
Phone Number
413-219-2781

License Information

License Number
8833
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shaun Mcdonald, PTA?

The NPI number of Shaun Mcdonald, PTA is 1053937987. It was assigned on June 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Shaun Mcdonald, PTA?

Shaun Mcdonald, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 8833.

Where does Shaun Mcdonald, PTA practice?

The practice location is 1200 Suffield St # 2933, Agawam, MA 01001-2933. The office can be reached at 413-789-2200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053937987 directly on the NPPES registry website.

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