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1326411778 NPI number — COURTNEY AILEEN SHINOST DPT

NPI Number: 1326411778
Health Care Provider/Practitioner: COURTNEY AILEEN SHINOST DPT

Information about “1326411778” NPI (COURTNEY AILEEN SHINOST DPT) exists in 1326411778 in HTML format HTML  |  1326411778 in plain Text format TXT  |  1326411778 in PDF (Portable Document Format) PDF  |  1326411778 in an XML format XML  formats.

NPI Number : 1326411778 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326411778",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHINOST",
    "FirstName": "COURTNEY",
    "MiddleName": "AILEEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MAY",
    "OtherFirstName": "COURTNEY",
    "OtherMiddleName": "AILEEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "17 RIVERSIDE ST STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHUA",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03062-1383",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-883-0091",
    "MailingAddressFaxNumber": "603-881-3739",
    "FirstLinePracticeLocationAddress": "17 RIVERSIDE ST STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NASHUA",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03062-1383",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-883-0091",
    "PracticeLocationAddressFaxNumber": "603-881-3739",
    "EnumerationDate": "11/06/2015",
    "LastUpdateDate": "06/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "4627",
        "LicenseNumberStateCode": "NH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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