Active NPIIndividual provider

Shannon D Keith

Physical Therapist in Bourne, Massachusetts

NPI Number1659070423
Practice location
146 Macarthur Blvd, Bourne, MA 02532-3902
Fax
—
Last updated
October 25, 2023

Shannon Danae Keith is a Physical Therapist based in Bourne, MA. Shannon Danae Keith practices in Bourne, MA. The NPI Number for Shannon Danae Keith is 1659070423 and holds a License No. 1371767 (TX). The current practice location address for Shannon Danae Keith is 146 Macarthur Blvd, Bourne, MA 02532-3902 and can be reached out via phone at 562-822-9924.

Provider Profile Details

NPI Number
1659070423
Provider Name
Shannon Danae Keith
Provider Entity Type
Individual
Gender
Female
Address
146 Macarthur Blvd, Bourne, MA 02532-3902
Phone Number
562-822-9924
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 1, 2023
Last Update Date
October 25, 2023
Certification Date
October 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
146 Macarthur Blvd
Bourne, MA 02532-3902
City
Bourne
Zip
02532-3902
Phone Number
562-822-9924
Bourne, MA 02532Get directions →

Provider Business Mailing Address Details

Address
3603 Beech Hill Dr
Spring, TX 77388-5766
City
Spring
State
TX
Zip
77388-5766

License Information

License Number (1)
1371767
License State (1)
TX
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
PT6507
License State (2)
ME
Taxonomy (2)
Physical Therapist · 225100000X
License Number (3)
301659
License State (3)
CA
Taxonomy (3)
Physical Therapist · 225100000X
License Number (4)
27234
License State (4)
MA
Taxonomy (4)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapists near Bourne, MA

View all Physical Therapists in Bourne →

Frequently Asked Questions

What is the NPI number of Shannon D Keith?

The NPI number of Shannon D Keith is 1659070423. It was assigned on March 1, 2023 and is currently active in the NPPES registry.

What is the specialty of Shannon D Keith?

Shannon D Keith is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in TX under license number 1371767.

Where does Shannon D Keith practice?

The practice location is 146 Macarthur Blvd, Bourne, MA 02532-3902. The office can be reached at 562-822-9924 (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 1659070423 directly on the NPPES registry website.

Browse related providers