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

Shannon Clary, PTA

Individual provider Physical Therapy Assistant · NPI 1710613880

Shannon Clary, PTA is a Physical Therapy Assistant in Brooklyn, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

41 Jewel St
Brooklyn, NY 11222-3511
Phone: (719) 661-6173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1710613880
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 29, 2022
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

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