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SHANNON HICKEY DPT
NPI 1114595857
Physical Therapist - Orthopedic in Bristol, CT

Active since June 17, 2021
15 RIVERSIDE AVENUE, BRISTOL, CT 06010(508) 468-7682 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2021, Jun 17, 2021 (2 updates tracked since 2021).

About Shannon Hickey Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON HICKEY DPT (NPI 1114595857) is an individual orthopedic provider in Bristol, Connecticut, licensed in Connecticut (012309) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1114595857
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameSHANNON HICKEYCredential: DPT
Location Address15 RIVERSIDE AVENUEBristol, CT 06010
Mailing Address53 Parker St Apt D106Wallingford, CT 06492-2375 · (508) 468-7682
Phone(508) 468-7682
Sole ProprietorNo
Enumeration DateJune 17, 2021
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1114595857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CT · 012309
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
15 RIVERSIDE AVENUE, Bristol, CT 06010
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KHARY EDWARDS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15 RIVERSIDE AVENUE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 940-6300
ARIEL MORLEY PA
Physician Assistant (Medical)
15 RIVERSIDE AVENUE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (833) 424-3627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Hickey's NPI number?

The NPI number for Shannon Hickey is 1114595857. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Shannon Hickey located?

Shannon Hickey practices at 15 Riverside Avenue, Bristol, CT 06010. The listed phone number is (508) 468-7682.

What is Shannon Hickey's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Shannon Hickey was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.