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Shannon Marie Mahoney

Physical Medicine & Rehabilitation in Danbury, CT. Individual provider (NPI-1).

NPI number1740926609
StatusActive
Last updated in NPPESMay 12, 2022

Details

NPI
1740926609
Entity type
Individual (NPI-1)
Name
Shannon Marie Mahoney
Sex
Female
Sole proprietor
No
Enumeration date
May 12, 2022
Certification date
May 12, 2022
Last updated
May 12, 2022

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 codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation12442CTYes
208100000X Physical Medicine & Rehabilitation044902NY

Practice location

235 Main St
Danbury, CT 06810-6673

Phone 203-730-5923

Mailing address

92 Stuyvesant Dr
Port Jefferson Station, NY 11776-4225

Phone 631-566-7543

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.

Other Physical Medicine & Rehabilitation Physician providers in Danbury, CT

All 14 Physical Medicine & Rehabilitation Physician providers in Danbury · All 2,930 providers in Danbury

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