Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shahana Lee Theriault, PA-C

Individual provider Physician Assistant · NPI 1114322153

Shahana Lee Theriault, PA-C is a Physician Assistant in Hamden, Connecticut. Qualified in 2014, 12 years ago. Practices with Connecticut Orthopaedic Specialists PC, a 183-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2416 Whitney Ave Fl 1
Hamden, CT 06518-3248
Phone: (203) 407-3550
Fax: (203) 407-4244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 235 Boston Post Rd, Orange, CT 06477-3229 — (203) 795-4784
  • 330 Bridgeport Ave, Shelton, CT 06484-3861 — (203) 538-0020

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3231 (CT)

Record details

NPI number1114322153
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2014
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Connecticut Orthopaedic Specialists Pc — 183 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Hamden