Shawn Vanderbrook, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024538 Issued in PA

Practice address

108 Franciscan Way
Loretto, PA 15940-9703

Phone

(814) 472-3936

NPI assigned

Aug 19, 2015

Last updated

Aug 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access PT Pennsylvania

  • Physical Therapist
  • Carlisle, PA
  • NPI 1255033254
  Medicare reassignment NPD
• Access PT Pennsylvania

  • Physical Therapist
  • Mechanicsburg, PA
  • NPI 1316649320
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1043686454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FRANCISCAN WAY",
            "city": "LORETTO",
            "state": "PA",
            "postal_code": "159409703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FRANCISCAN WAY",
            "city": "LORETTO",
            "state": "PA",
            "postal_code": "159409703",
            "telephone_number": "814-472-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBROOK",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia G. Roberts
• Alexa Semelsberger, MOT, OTR
• Courtney Lee Shall, M.A., NBCC, LPC
• Mary Elaine Sheehan, LCSW
• Simply Speech Therapy, LLC
• Brooke Weiland

• Physical Therapist in Loretto, PA
• Providers in Loretto, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.