Shawn J Casalvera, PTA
Individual provider Active NPI Physical Therapy Assistant · Dover, DE
NPI 1235256504 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235256504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- J2-0000328 (DE)
- Practice address
- 1080 Silver Lake Blvd
Dover, DE 19904-2410 - Phone
- (302) 734-5990
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2-0000328 | DE | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | J2-0000328 | DE | Yes |
Addresses
Primary practice location
1080 Silver Lake Blvd
Dover, DE 19904-2410
Mailing address
8 Peregrine Way
Middletown, DE 19709-9169
Phone (302) 376-0972
Other providers in Dover, DE
- Brianna Carter
- Shymere Carter
- Sonja M Cartwright
- Anthony Richard Caruso
- Jamie Caruso
- Lauren Casaretti Mulcahey
- Nicole Casazza
- Teresa Casella
- Patrick H Casey
- Paula Casey
All providers in Dover, DE · Physical Therapy Assistant in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.