Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Madeline Nicole O'Shaughnessy, DR

Individual provider Physical Therapist · NPI 1457071185

Miss. Madeline Nicole O'Shaughnessy, DR is a Physical Therapist in Private Practice in Port Jefferson Station, New York. Qualified in 2022, 4 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

1500 NY-112 Bldg 9
Port Jefferson Station, NY 11776
Phone: (631) 849-6688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 049073 (NY)

Record details

NPI number1457071185
Entity typeIndividual (Type 1)
GenderFemale
Credentials DR
Sole proprietorNo
NPI enumeratedSeptember 1, 2022
Last updated in NPPESSeptember 1, 2022
Certification dateAugust 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Jefferson Station