Provider Demographics
NPI:1447472642
Name:SHAPIRO, JOANN T (PT)
Entity type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:T
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20745 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKEVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20833-1906
Mailing Address - Country:US
Mailing Address - Phone:240-864-1800
Mailing Address - Fax:240-779-2121
Practice Address - Street 1:20745 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:BROOKEVILLE
Practice Address - State:MD
Practice Address - Zip Code:20833-1906
Practice Address - Country:US
Practice Address - Phone:240-864-1800
Practice Address - Fax:240-779-2121
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14527225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist