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

Shaun Lennon

Individual provider Physical Therapist · NPI 1760272017

Shaun Lennon is a Physical Therapist in Private Practice in Kings Park, New York. Qualified in 2025, 1 year ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

265 Indian Head Rd
Kings Park, NY 11754-4803
Phone: (631) 528-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 131 W Main St, Bay Shore, NY 11706-8315 — (631) 665-4560

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1760272017
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2025
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing address20 Ridge Rd, Smithtown, NY 11787-2506

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Professional Occupational And Physical Therapy, Pllc — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kings Park