Shane Michael Delameter, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

225200000X Issued in NY

Practice address

2568 Route 212
Woodstock, NY 12498-2132

Phone

(845) 679-9767

Fax

(845) 679-2604

NPI assigned

Aug 28, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Woodstock Physical Therapy, LLC

  • Physical Therapist
  • Woodstock, NY
  • NPI 1982637013
  NPD (past)

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1184058950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1235",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124988235",
            "telephone_number": "845-679-9767",
            "fax_number": "845-679-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 ROUTE 212",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124982132",
            "telephone_number": "845-679-9767",
            "fax_number": "845-679-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAMETER",
        "first_name": "SHANE",
        "middle_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "225200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Albany LLC
• Cynthia Bette Dallow, M.S. R.N. C.S.
• Stephen P Dallow, DDS
• Jose Nicolas De la Parte, BS PHARMACY
• Matthew Thomas Degnan, PHARMD RPH
• Jeremy Scott Dengler, PHARMD
• Cindy R Dern, LCSW-R
• Courtney Deschenes, LCSW-R
• Louise Gibson Dewhirst, DDS
• Arthur Anthony Dinapoli, MD

• Physical Therapy Assistant in Woodstock, NY
• Providers in Woodstock, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.