Shellane N Shattuck, DPT | |
145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | |
(860) 265-2571 | |
(860) 265-2574 |
Full Name | Shellane N Shattuck |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 145 Hazard Ave, Enfield, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215222492 | NPI | - | NPPES |
009353 | Other | CT | STATE OF CONNECTICUT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 19528 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Live Every Day L.l.c | 4284839176 | 9 |
Provider Name | Live Every Day L.l.c |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1194023879 PECOS PAC ID: 4284839176 Enrollment ID: O20110722000120 |
Mailing Address | Practice Location Address |
---|---|
Shellane N Shattuck, DPT 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 Ph: (860) 265-2571 | Shellane N Shattuck, DPT 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 Ph: (860) 265-2571 |
Susan H Davis, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Christian Morini, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Elm St Ste 201, Enfield, CT 06082 Phone: 860-253-5196 Fax: 860-253-5197 | |
Mr. Zachary Demers, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Scott Elms, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Milan Dipakkumar Patel, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 935 Enfield St, Enfield, CT 06082 Phone: 832-488-3234 | |
Erin Gaskell, DPT, MTC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Adam Nathaniel Majka, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 145 Hazard Ave, Enfield, CT 06082 Phone: 860-265-2571 |