Active NPIIndividual providerSole proprietor

Jillian Shannon, PT

Physical Therapist in Canton, Massachusetts

NPI Number1598001216
Practice location
95 Washington St, Canton, MA 02021-4006
Fax
—
Last updated
July 2, 2019

Jillian Shannon is a Physical Therapist based in Canton, MA. Jillian Shannon practices in Canton, MA and has the professional credentials of PT. The NPI Number for Jillian Shannon is 1598001216 and holds a License No. 035711 (NY). The current practice location address for Jillian Shannon is 95 Washington St, Canton, MA 02021-4006 and can be reached out via phone at 781-828-7951.

Provider Profile Details

NPI Number
1598001216
Provider Name
Jillian Shannon
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
95 Washington St, Canton, MA 02021-4006
Phone Number
781-828-7951
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Other Names
Jillian Block (Former Name)
Provider Enumeration Date
December 27, 2012
Last Update Date
July 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Washington St
Canton, MA 02021-4006
City
Canton
Zip
02021-4006
Phone Number
781-828-7951
Canton, MA 02021Get directions →

Provider Business Mailing Address Details

Address
592 Gilbert St
Baldwin, NY 11510-3822
City
Baldwin
State
NY
Zip
11510-3822

License Information

License Number (1)
035711
License State (1)
NY
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
20321
License State (2)
MA
Taxonomy (2)
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 Jillian Shannon, PT?

The NPI number of Jillian Shannon, PT is 1598001216. It was assigned on December 27, 2012 and is currently active in the NPPES registry.

What is the specialty of Jillian Shannon, PT?

Jillian Shannon, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 035711.

Where does Jillian Shannon, PT practice?

The practice location is 95 Washington St, Canton, MA 02021-4006. The office can be reached at 781-828-7951 (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 1598001216 directly on the NPPES registry website.

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