Individual provider Active NPI

Shawn Henry

  • Physical Therapist
  • Downingtown, PA
National Provider Identifier
1255015152
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1426 Marshallton Thorndale Rd
Downingtown, PA 19335-3673
Phone
(610) 424-1100
NPI assigned
Jun 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 Primary

Addresses

Primary practice location

1426 Marshallton Thorndale Rd
Downingtown, PA 19335-3673

Mailing address

163 Pottstown Pike
Chester Springs, PA 19425-9518
Phone (610) 458-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009002411 PA Practitioner - Physical Therapist in Private Practice 2668827817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetic Physical Therapy LLCGroup PAC ID 1456358571, 25 clinicians

Practice addresses (Care Compare)

1426 Marshallton Thorndale Rd
Downingtown, PA 19335-3673
Phone (610) 424-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Physical Therapy, LLC Physical Therapist CurrentSince Aug 15, 2023 Accepting new patients

Locations

163 Pottstown Pike
Chester Springs, PA 19425
Phone (610) 458-6464

1426 Marshallton Thorndale Rd
Downingtown, PA 19335
Phone (610) 380-2986

Organizations & group practices 1

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1255015152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 POTTSTOWN PIKE",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259518",
            "telephone_number": "610-458-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 MARSHALLTON THORNDALE RD",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353673",
            "telephone_number": "610-424-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.