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

Shannon Thevanayagam

Individual provider Physical Therapist · NPI 1164157434

Shannon Thevanayagam is a Physical Therapist in Private Practice in Cherry Hill, New Jersey. Qualified in 2022, 4 years ago. Practices with Trinity Rehab Somerset PA, a 61-clinician group and accepts Medicare assignment. Licensed in New Jersey.

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

801 Haddonfield Rd
Cherry Hill, NJ 08002-2604
Phone: (856) 843-8333
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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 40QA02089300 (NJ)

Record details

NPI number1164157434
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025

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 Trinity Rehab Somerset Pa — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Cherry Hill