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

Mr. Shane Ryan Wunderli

Individual provider Physical Therapist · NPI 1124987698

Mr. Shane Ryan Wunderli is a Physical Therapist in Private Practice in North Chelmsford, Massachusetts. Qualified in 2022, 4 years ago. Practices with Complete Game Physical Therapy PC, an 8-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2026

Practice location Address checks out

73 Princeton St # 8
North Chelmsford, MA 01863-1558
Phone: (978) 710-7204
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL26555 (MA)

Record details

NPI number1124987698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 20, 2026
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address2 1/2 Courtland St Apt 2, Nashua, NH 03064-2133

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 Complete Game Physical Therapy Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Chelmsford