Individual provider Active NPI

Shayna Lynn Dillane, DPT

  • Physical Therapist
  • N Charleston, SC
National Provider Identifier
1073158945
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9973 Issued in SC
Practice address
2500 Elms Center Rd Ste B
N Charleston, SC 29406-9844
Phone
(843) 203-5051
Fax
(843) 806-2941
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9973 SC Primary

Addresses

Primary practice location

2500 Elms Center Rd Ste B
N Charleston, SC 29406-9844

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 695-6071

Other identifiers 1

IdentifierTypeStateIssuer
TH4106MedicaidSC

Other names 1

  • Shayna Lynn Zoller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200129000395 SC Practitioner - Physical Therapist in Private Practice 5395171045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Primary Care Physicians LLCGroup PAC ID 4880508068, 148 clinicians

Practice addresses (Care Compare)

2500 Elms Ctr Rd
B
North Charleston, SC 29406-9844
Phone (843) 695-6071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Jan 2, 2020 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jan 2, 2020 Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

4340 Ladson Rd
Ste B
Ladson, SC 29456
Phone (843) 376-5056

2500 Elms Center Rd
Ste B
North Charleston, SC 29406
Phone (843) 203-5051

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

2500 Elms Center Rd
#B
North Charleston, SC 29406
Phone (843) 203-5051

5500 Front St
Ste 203
Summerville, SC 29486
Phone (843) 879-4060

5500 Front St
#203
Summerville, SC 29486
Phone (843) 266-2520

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1073158945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ELMS CENTER RD STE B",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069844",
            "telephone_number": "843-203-5051",
            "fax_number": "843-806-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLANE",
        "first_name": "SHAYNA",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH4106",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYNA",
            "last_name": "ZOLLER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.