Shannen M Wallace
Physical Therapist in Newburyport, Massachusetts
1073233250- Practice location
- 25 Storey Ave Ste 11, Newburyport, MA 01950-1869
- Phone
- 978-499-2370
- Fax
- —
- Last updated
- May 6, 2026
Shannen Margaret Wallace is a Physical Therapist based in Newburyport, MA. Shannen Margaret Wallace practices in Newburyport, MA. The NPI Number for Shannen Margaret Wallace is 1073233250 and holds a License No. 4900 (NH). The current practice location address for Shannen Margaret Wallace is 25 Storey Ave Ste 11, Newburyport, MA 01950-1869 and can be reached out via phone at 978-499-2370.
Provider Profile Details
- NPI Number
- 1073233250
- Provider Name
- Shannen Margaret Wallace
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 Storey Ave Ste 11, Newburyport, MA 01950-1869
- Phone Number
- 978-499-2370
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 30, 2022
- Last Update Date
- May 6, 2026
- Certification Date
- May 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Storey Ave Ste 11
Newburyport, MA 01950-1869 - City
- Newburyport
- State
- Massachusetts
- Zip
- 01950-1869
- Phone Number
- 978-499-2370
Provider Business Mailing Address Details
- Address
- 544E Ministerial RD
Wakefield, RI 02879-4813 - City
- Wakefield
- State
- RI
- Zip
- 02879-4813
- Phone Number
- 401-536-7614
License Information
- License Number (1)
- 4900
- License State (1)
- NH
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 25919
- License State (2)
- MA
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shannen M Wallace?
The NPI number of Shannen M Wallace is 1073233250. It was assigned on August 30, 2022 and is currently active in the NPPES registry.
What is the specialty of Shannen M Wallace?
Shannen M Wallace is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NH under license number 4900.
Where does Shannen M Wallace practice?
The practice location is 25 Storey Ave Ste 11, Newburyport, MA 01950-1869. The office can be reached at 978-499-2370 (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 1073233250 directly on the NPPES registry website.