Healthcare Provider Details

I. General information

NPI: 1326411778
Provider Name (Legal Business Name): COURTNEY AILEEN SHINOST DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: COURTNEY AILEEN MAY M.S.

II. Dates (important events)

Enumeration Date: 11/06/2015
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 LEDGEWOOD DR
AUBURN NH
03032-3555
US

IV. Provider business mailing address

12 LEDGEWOOD DR
AUBURN NH
03032-3555
US

V. Phone/Fax

Practice location:
  • Phone: 978-289-4363
  • Fax:
Mailing address:
  • Phone: 508-738-1031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4627
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: