Individual provider · Type 1 NPI

Mary Ellen Shanahan, PT, OCS, CERT. MDT

Orthopedic Physical Therapist · Chicago, IL

NPI number 1184811481 Active

Practice location

6500 W 65th St
Chicago, IL 60638-4962

Call (708) 496-1515 Map

Fax (708) 496-3422

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X0700100410 (IL)
Physical Therapist 225100000XNone listed

Orthopedic Physical Therapist: 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 prac…

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About NPI 1184811481

Mary Ellen Shanahan, PT, OCS, CERT. MDT's National Provider Identifier is 1184811481, issued on Oct 1, 2007. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Chicago, IL. The record was last updated on Oct 1, 2007.