Allicia R Shingledecker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020623 Issued in PA

Practice address

850 Main Street
Coalport, PA 16627

Phone

(814) 672-5700

Fax

(814) 672-5702

NPI assigned

Jun 16, 2010

Sex

Female

Sole proprietor

No

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.

• Procare PT LP

  • Physical Therapist
  • Altoona, PA
  • NPI 1811238744

  PA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Keystone Rehabilitation Systems Inc

  • Rehabilitation Clinic/Center
  • Ambridge, PA
  • NPI 1558300574
  NPD (past)
• Pro Care Health Systems Inc

  • Physical Therapy Clinic/Center
  • Altoona, PA
  • NPI 1205821238
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Procare PT LP 17 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Allicia Neff Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2025.

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1295056083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 ST LAWRENCE RD",
            "city": "COALPORT",
            "state": "PA",
            "postal_code": "166279400",
            "telephone_number": "814-577-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MAIN STREET",
            "city": "COALPORT",
            "state": "PA",
            "postal_code": "16627",
            "telephone_number": "814-672-5700",
            "fax_number": "814-672-5702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 Sandy Dr",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032282",
            "country_code": "US",
            "telephone_number": "814-861-8122",
            "fax_number": "814-861-4292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINGLEDECKER",
        "first_name": "ALLICIA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLICIA",
            "last_name": "NEFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura J Rizzo, DMD
• Jay A Robinson, M.D.
• Marianne Rydbom, RPH
• Deborah Jo Savino, DH
• Sohail Shariff, M.D.
• Ashley Nicole Simmers, LPC
• Jacy Lenai Walker

• All providers in Coalport, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.