Active NPIIndividual providerSole proprietor

Mr. Shane R Wunderli

Physical Therapist in North Chelmsford, Massachusetts

NPI Number1124987698
Practice location
73 Princeton St # 8, North Chelmsford, MA 01863-1558
Fax
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Last updated
January 20, 2026

Shane Ryan Wunderli is a Physical Therapist based in North Chelmsford, MA. Shane Ryan Wunderli practices in North Chelmsford, MA. The NPI Number for Shane Ryan Wunderli is 1124987698 and holds a License No. PTL26555 (MA). The current practice location address for Shane Ryan Wunderli is 73 Princeton St # 8, North Chelmsford, MA 01863-1558 and can be reached out via phone at 978-710-7204.

Provider Profile Details

NPI Number
1124987698
Provider Name
Shane Ryan Wunderli
Provider Entity Type
Individual
Gender
Male
Address
73 Princeton St # 8, North Chelmsford, MA 01863-1558
Phone Number
978-710-7204
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 20, 2026
Last Update Date
January 20, 2026
Certification Date
January 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
73 Princeton St # 8
North Chelmsford, MA 01863-1558
Zip
01863-1558
Phone Number
978-710-7204
North Chelmsford, MA 01863Get directions →

Provider Business Mailing Address Details

Address
2 1/2 Courtland St Apt 2
Nashua, NH 03064-2133
City
Nashua
State
NH
Zip
03064-2133

License Information

License Number
PTL26555
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 Mr. Shane R Wunderli?

The NPI number of Mr. Shane R Wunderli is 1124987698. It was assigned on January 20, 2026 and is currently active in the NPPES registry.

What is the specialty of Mr. Shane R Wunderli?

Mr. Shane R Wunderli is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number PTL26555.

Where does Mr. Shane R Wunderli practice?

The practice location is 73 Princeton St # 8, North Chelmsford, MA 01863-1558. The office can be reached at 978-710-7204 (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 1124987698 directly on the NPPES registry website.

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