SHANNON FERGUSON (NPI# 1255754875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255754875 |
| Entity Type | Individual |
| Full Name | SHANNON FERGUSON |
| Practice Address |
1199 Pleasant Valley Way West Orange NJ 07052-1424 |
| Practice Telephone | 9737313600 |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
40QA01387200 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629229695 | Shannon Marie Ferguson | Speech-Language Pathologist | 3461 Pratt Rd., Batavia, NY 14020 | 2008-10-08 |
| 1457959777 | Shannon White Ferguson | Social Worker | 35 Cold Spring Rd, Rocky Hill, CT 06067-3160 | 2020-10-09 |
| 1376088997 | Shannon Ferguson | Specialist | 116 W 32nd St, 8th Floor, New York, NY 10001-3212 | 2017-01-05 |
| 1215397880 | Shannon Marie Ferguson | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2016-02-25 |
| 1407294259 | Shannon Gettel Ferguson | Physician Assistant | 5750 W Vickery Blvd Ste 104, Fort Worth, TX 76107-7448 | 2013-06-13 |
| 1952566226 | Shannon Kalmer Ferguson | Occupational Therapist | 980 Johnson Fy Rd Ne, Atlanta, GA 30342-1626 | 2008-07-25 |
| 1619096674 | Shannon Ferguson | Student in an Organized Health Care Education/Training Program | 1325 N Western Ave, Los Angeles, CA 90027-5615 | 2007-03-28 |
| Street Address |
1199 PLEASANT VALLEY WAY |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919620 | Kessler Institute for Rehabilitation Inc | Clinic/Center | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2005-08-12 |
| 1770104002 | Jordana Burstein | Physical Medicine & Rehabilitation | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2020-04-28 |
| 1427677350 | Meghan Leach | Speech-Language Pathologist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2020-04-10 |
| 1760022479 | Kaila Hoer | Occupational Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2020-01-10 |
| 1174168090 | Amanda Jaclyn Sylvester | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-11-14 |
| 1891336616 | Amy Rose Rasmusson | Occupational Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-10-02 |
| 1902457559 | Elizabeth Felker | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-09-25 |
| 1700435344 | Brittany O'reilly | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-09-06 |
| 1922652577 | Katherine Fair Chan | Clinical Neuropsychologist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-07-31 |
| 1801356928 | Jason Sheehan | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235666074 | Todd E Williams | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2017-05-11 |
| 1487097259 | Justine Mamone | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2013-04-11 |
| 1619277993 | Elizabeth Marie Woods | Physical Therapist | 1199 Pleasant Valley Way, Outpatient Rehabilitation Services, West Orange, NJ 07052-1424 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699339671 | Umair Khalid | Physical Therapist | 142 Logan Ave, Jersey City, NJ 07306-6906 | 2019-04-25 |
| 1487118030 | Ashley Dembeck | Physical Therapist | 523 Fellowship Rd Ste 290, Mount Laurel, NJ 08054-3414 | 2019-01-29 |
| 1245655901 | Rajni Patel | Physical Therapist | 604 Patriot Ln, Cedar Knolls, NJ 07927-1624 | 2014-03-04 |
| 1083040281 | Laura Ann Cambria | Physical Therapist | 18-01 Pollitt Dr Ste 1a, Fair Lawn, NJ 07410-2815 | 2013-09-19 |
| 1447502331 | Angela E Mueller | Physical Therapist | 38 Sanders Ln, Cream Ridge, NJ 08514-2517 | 2012-10-03 |
| 1720228646 | Nordia Ann Marie Hall | Physical Therapist | 1130 Route 202 Ste 2, Raritan, NJ 08869-1444 | 2009-03-05 |
| 1891994851 | Susan Pitzel | Physical Therapist | 21 Fernwood Pl, Old Bridge, NJ 08857-2625 | 2007-07-11 |
| 1134240450 | Mark J Barna | Physical Therapist | 500 Barnett Pl, Ho Ho Kus, NJ 07423-1564 | 2007-04-03 |
| 1508865379 | Jennifer Lynne Perno | Physical Therapist | 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2661 | 2005-07-14 |
| 1134765852 | Georgia March | Physical Therapist | 755 Memorial Pkwy Ste 208, Phillipsburg, NJ 08865-2773 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
Please comment or provide details below to improve the information on SHANNON FERGUSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.