Active NPIIndividual provider

Dr. Kenneth J Shannon, PT

Physical Therapist in Norwell, Massachusetts

NPI Number1619049582
Practice location
143 Longwater Dr, Norwell, MA 02061-1683
Fax
—
Last updated
January 18, 2021

Kenneth John Shannon is a Physical Therapist based in Norwell, MA. Kenneth John Shannon practices in Norwell, MA and has the professional credentials of PT. The NPI Number for Kenneth John Shannon is 1619049582 and holds a License No. 10815 (MA). The current practice location address for Kenneth John Shannon is 143 Longwater Dr, Norwell, MA 02061-1683 and can be reached out via phone at 781-878-5200.

Provider Profile Details

NPI Number
1619049582
Provider Name
Kenneth John Shannon
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
143 Longwater Dr, Norwell, MA 02061-1683
Phone Number
781-878-5200
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 15, 2006
Last Update Date
January 18, 2021
Certification Date
January 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
143 Longwater Dr
Norwell, MA 02061-1683
Zip
02061-1683
Phone Number
781-878-5200
Norwell, MA 02061Get directions →

Provider Business Mailing Address Details

Address
340 N Main St
Cohasset, MA 02025-1362
City
Cohasset
State
MA
Zip
02025-1362
Phone Number
617-233-4108

License Information

License Number
10815
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 Dr. Kenneth J Shannon, PT?

The NPI number of Dr. Kenneth J Shannon, PT is 1619049582. It was assigned on November 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth J Shannon, PT?

Dr. Kenneth J Shannon, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 10815.

Where does Dr. Kenneth J Shannon, PT practice?

The practice location is 143 Longwater Dr, Norwell, MA 02061-1683. The office can be reached at 781-878-5200 (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 1619049582 directly on the NPPES registry website.

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