Shane Stitik, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29837 Issued in FL

Practice address

5221 Hanff LN
New Port Richey, FL 34652-4226

Phone

(727) 841-0515

NPI assigned

Nov 21, 2014

Sex

Male

Sole proprietor

No

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catalyst Physical Therapy PLLCGroup PAC ID 5597154401, 5 clinicians

Florida Luna Care Physical Therapy LLCGroup PAC ID 3779991559, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Catalyst Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Clearwater, FL
  • NPI 1407522832

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1073910824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 IMPERIAL KY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 HANFF LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524226",
            "telephone_number": "727-841-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITIK",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "29837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata Stever, DMD
• Denis W Stewart, M.D.
• Michael Harold Stewart, RPH
• Tera Stewart, APRN
• Jessica Ann Stilley, DMD
• Katrina Stoehr
• Darla Stolec
• Lori Stone
• Lauren D Storck-Burger, LCSW
• Veselin S Stoyanov, MD

• Physical Therapist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.