Olivia L Shaffer, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT027596 Issued in PA

Practice address

730 S Broad St
Lansdale, PA 19446-5211

Phone

(215) 855-9871

Fax

(215) 855-8748

NPI assigned

Mar 29, 2019

Sex

Female

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Physical Therapy Associates, P.C.Group PAC ID 4880799477, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Optimum Physical Therapy Associates, P.C.

  • Physical Therapist
  • Swarthmore, PA
  • NPI 1467521427
  Medicare reassignment Care Compare group NPD
• Fitlife Fitness & Aquatics, Incorporated

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1124105473

  Physical Therapist

  Medicare reassignment NPD
• Physical Therapy and Wellness Institute LLC

  • Physical Therapist
  • Lansdale, PA
  • NPI 1740208339
  Medicare reassignment NPD
• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  NPD

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1093276164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465211",
            "telephone_number": "215-855-9871",
            "fax_number": "215-855-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465211",
            "telephone_number": "215-855-9871",
            "fax_number": "215-855-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "OLIVIA",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Seidner, MD
• Erica B Selheimer, LAT, ATC, CSCS
• Priscilla Linne Sepe, M.D.
• Sokol Serjani
• Arielle Serrano
• Jennifer A Shafi, MA, ATR-BC
• Dipti Shah-Parikh, MD
• Megha Shah, R.PH
• Yang Shan, M.D.
• Megha Sharma, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.