Active NPIIndividual provider

Shannon Condon, PT

Physical Therapist in Dedham, Massachusetts

NPI Number1104651579
Practice location
391 Common St, Dedham, MA 02026-4055
Fax
877-407-4329
Last updated
September 5, 2024

Shannon Condon is a Physical Therapist based in Dedham, MA. Shannon Condon practices in Dedham, MA and has the professional credentials of PT. The NPI Number for Shannon Condon is 1104651579 and holds a License No. PTL27851 (MA). The current practice location address for Shannon Condon is 391 Common St, Dedham, MA 02026-4055 and can be reached out via phone at 877-407-3422 and via fax at 877-407-4329.

Provider Profile Details

NPI Number
1104651579
Provider Name
Shannon Condon
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
391 Common St, Dedham, MA 02026-4055
Phone Number
877-407-3422
Fax Number
877-407-4329
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 5, 2024
Last Update Date
September 5, 2024
Certification Date
September 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
391 Common St
Dedham, MA 02026-4055
City
Dedham
Zip
02026-4055
Phone Number
877-407-3422
Fax Number
877-407-4329
Dedham, MA 02026Get directions →

Provider Business Mailing Address Details

Address
7 Carnegie Plz
Cherry Hill, NJ 08003-1000
City
Cherry Hill
State
NJ
Zip
08003-1000
Phone Number
877-407-3422
Fax Number
877-407-4329

License Information

License Number
PTL27851
License State
MA
Taxonomy
Physical Therapist · 225100000X · 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 Shannon Condon, PT?

The NPI number of Shannon Condon, PT is 1104651579. It was assigned on September 5, 2024 and is currently active in the NPPES registry.

What is the specialty of Shannon Condon, PT?

Shannon Condon, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number PTL27851.

Where does Shannon Condon, PT practice?

The practice location is 391 Common St, Dedham, MA 02026-4055. The office can be reached at 877-407-3422 (phone) or 877-407-4329 (fax).

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 1104651579 directly on the NPPES registry website.

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