Individual provider Active NPI

Allison Joy Shane, PT, DPT

  • Physical Therapist
  • Mountain View, CA
National Provider Identifier
1114293669
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38206 Issued in CA
Practice address
1235 Pear Ave
Ste 101
Mountain View, CA 94043-1444
Phone
(650) 965-8434
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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 38206 CA Primary

Addresses

Primary practice location

1235 Pear Ave
Ste 101
Mountain View, CA 94043-1444

Mailing address

812 Laurel Ave
Burlingame, CA 94010-2639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111230000341 CA Practitioner - Physical Therapist in Private Practice 2860668589 Reassigns benefits to 1 organization
I20221005001416 CO Practitioner - Physical Therapist in Private Practice 2860668589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Boston University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians
TFL Provider Network LLCGroup PAC ID 8820356256, 25 clinicians

Practice addresses (Care Compare)

Denver, CO 80246
Phone (866) 525-3175

3996 Red Cedar Dr
Unit A6
Highlands Ranch, CO 80126-8066
Phone (303) 800-2829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38206CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
TFL Provider Network LLC CurrentSince Aug 29, 2022 Accepting new patients
Agile Physical Therapy Inc CurrentSince Jan 1, 2018 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 20, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 20, 2025 Accepting new patients
Health on Wheels PC Physical Therapist Past Accepting new patients

Locations

3825 El Camino Real
Palo Alto, CA 94306
Phone (856) 296-2860

1670 S Amphlett Blvd
Ste 123
San Mateo, CA 94402
Phone (650) 558-0247

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

5295 Dtc Pkwy
Ste 202
Greenwood Village, CO 80111
Phone (303) 800-2829

3996 Red Cedar Dr
Unit A6
Highlands Ranch, CO 80126
Phone (303) 800-2829

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 7

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1114293669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 LAUREL AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PEAR AVE",
            "address_2": "STE 101",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431444",
            "telephone_number": "650-965-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANE",
        "first_name": "ALLISON",
        "middle_name": "JOY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.