Provider Demographics
NPI:1700324241
Name:KAPLAN, SHANNON RUBENSTEIN (PT, DPT, ATC)
Entity Type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:RUBENSTEIN
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 ANGLE PARK DR
Mailing Address - Street 2:APT 306
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-1890
Mailing Address - Country:US
Mailing Address - Phone:703-577-5525
Mailing Address - Fax:
Practice Address - Street 1:2121 E WILLIAMS ST
Practice Address - Street 2:SUITE #108
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-7764
Practice Address - Country:US
Practice Address - Phone:919-372-8412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-04
Last Update Date:2017-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP16918225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist