Shane Capone, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01587000 Issued in NJ

Practice address

555 Lacey Rd
Suite 203
Forked River, NJ 08731-1500

Phone

(609) 693-5055

Fax

(609) 693-0222

NPI assigned

Nov 10, 2014

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Activate Physical Therapy LLC 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Activate Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Toms River, NJ
  • NPI 1063123982

  NJ, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Atlantic Physical Therapy Center

  • Orthopedic Physical Therapist
  • Toms River, NJ
  • NPI 1801857917

  NJ, Physical Therapist

  Medicare reassignment NPD
• Coastal Home Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Belmar, NJ
  • NPI 1316236664

  NJ, Physical Therapist

  Medicare reassignment NPD
• Pearl Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Shrewsbury, NJ
  • NPI 1225630122

  NJ

  Medicare reassignment NPD
• Activate Rehabilitation

  • Occupational Therapist
  • Toms River, NJ
  • NPI 1396509949

  Physical Therapist

  NPD Authorized official
• Atlantic Physical Therapy Center

  • Hand Occupational Therapist
  • Oakhurst, NJ
  • NPI 1659945228
  NPD
• Atlantic Physical Therapy Center

  • Hand Occupational Therapist
  • Jackson, NJ
  • NPI 1043884612
  NPD (past)
• Dpmkingprnj LLC

  • Podiatrist
  • Lakewood, NJ
  • NPI 1073811931
  NPD (past)
• Parker Creek Neurorehabilitation

  • Physical Therapy Clinic/Center
  • Little Silver, NJ
  • NPI 1740743467
  NPD (past)

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1275939837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 ROUTE 9",
            "address_2": "BUILDING #2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554038",
            "telephone_number": "732-240-9296",
            "fax_number": "732-240-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LACEY RD",
            "address_2": "SUITE 203",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311500",
            "telephone_number": "609-693-5055",
            "fax_number": "609-693-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPONE",
        "first_name": "SHANE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01587000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Burke
• Lauren Calorel, PT, DPT
• Katelyn Campbell, DDS
• Robert Angelo Campolattaro, M.D.
• Glenn R. Candeletti, PH.D.
• Natalie Marie Carr, PA-C
• Toniann Nancy Catanzaro, PT, DPT
• Cavalier Senior Care
• Central Ocean County Diagnostic Imaging Center, LLC
• Patricia Ann Christensen, NP

• All providers in Forked River, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.