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MS. MARY ELLEN SHANAHAN PT OCS CERT. MDT NPI 1184811481


NPI Information

NPI: 1184811481
Provider Name: MS. MARY ELLEN SHANAHAN, PT, OCS, CERT. MDT
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
6500 W 65TH ST
CHICAGO, IL
ZIP 60638
Phone: (708) 496-1515
Get Directions

MS. Mary Ellen Shanahan, PT, OCS, CERT. MDT is an orthopedic physical therapist in Chicago, IL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. MS. Mary Ellen Shanahan, PT, OCS, CERT. MDT NPI is 1184811481. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6500 W 65TH ST
CHICAGO, IL
ZIP 60638-962
Phone: (708) 496-1515
Fax: (708) 496-3422

The enumeration date for this NPI number is 10/1/2007 and was last updated on 10/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedic0700100410ILLINOISYes
2225100000XPhysical TherapistILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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