Shanna Duffy, PT, DPT
Physical Therapist in Lebanon, NH. Individual provider (NPI-1).
NPI number1508325481
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1508325481
- Entity type
- Individual (NPI-1)
- Name
- Shanna Duffy
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2019
- Certification date
- Sep 30, 2021
- Last updated
- Sep 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4153 | NH | Yes |
| 225100000X | Physical Therapist | 040.0121914 | VT |
Practice location
112 Etna RdLebanon, NH 03766-1559
Phone 603-643-7788 · Fax 603-643-0022
Mailing address
112 Etna RdLebanon, NH 03766-1559
Phone 603-643-7788 · Fax 603-643-0022
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 39 Physical Therapist providers in Lebanon · All 3,647 providers in Lebanon
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