Active NPIIndividual provider

Ms. Shannon L Hassan, PTA

Physical Therapy Assistant in Middletown, New York

NPI Number1508573130
Practice location
29 Creeden Hill RD, Middletown, NY 10940-6897
Fax
—
Last updated
November 2, 2022

Shannon Lee Hassan is a Physical Therapy Assistant based in Middletown, NY. Shannon Lee Hassan practices in Middletown, NY and has the professional credentials of PTA. The NPI Number for Shannon Lee Hassan is 1508573130 and holds a License No. 012747-01 (NY). The current practice location address for Shannon Lee Hassan is 29 Creeden Hill RD, Middletown, NY 10940-6897 and can be reached out via phone at 845-537-6878.

Provider Profile Details

NPI Number
1508573130
Provider Name
Shannon Lee Hassan
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
29 Creeden Hill RD, Middletown, NY 10940-6897
Phone Number
845-537-6878
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2022
Last Update Date
November 2, 2022
Certification Date
October 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Creeden Hill RD
Middletown, NY 10940-6897
Zip
10940-6897
Phone Number
845-537-6878
Middletown, NY 10940Get directions →

Provider Business Mailing Address Details

Address
29 Creeden Hill RD
Middletown, NY 10940-6897
City
Middletown
State
NY
Zip
10940-6897
Phone Number
845-537-6878

License Information

License Number
012747-01
License State
NY
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 Ms. Shannon L Hassan, PTA?

The NPI number of Ms. Shannon L Hassan, PTA is 1508573130. It was assigned on November 2, 2022 and is currently active in the NPPES registry.

What is the specialty of Ms. Shannon L Hassan, PTA?

Ms. Shannon L Hassan, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number 012747-01.

Where does Ms. Shannon L Hassan, PTA practice?

The practice location is 29 Creeden Hill RD, Middletown, NY 10940-6897. The office can be reached at 845-537-6878 (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 1508573130 directly on the NPPES registry website.

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