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1720229644 NPI number — SHANNON BRIGITTE CEALLAIGH PT

NPI Number: 1720229644
Health Care Provider/Practitioner: SHANNON BRIGITTE CEALLAIGH PT

Information about “1720229644” NPI (SHANNON BRIGITTE CEALLAIGH PT) exists in 1720229644 in HTML format HTML  |  1720229644 in plain Text format TXT  |  1720229644 in PDF (Portable Document Format) PDF  |  1720229644 in an XML format XML  formats.

NPI Number : 1720229644 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720229644",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CEALLAIGH",
    "FirstName": "SHANNON",
    "MiddleName": "BRIGITTE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KELLY",
    "OtherFirstName": "SHANNON",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8899 E PRENTICE AVE APT 10301",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENWOOD VILLAGE",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80111-3357",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-309-4706",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8899 E PRENTICE AVE APT 10301",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENWOOD VILLAGE",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80111-3357",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-309-4706",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/23/2009",
    "LastUpdateDate": "09/24/2025",
    "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": "2251X0800X",
        "TaxonomyName": "Orthopedic Physical Therapist",
        "LicenseNumber": "00007593",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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