Active NPI
Taylor A Shaak, DPT
- Physical Therapist
- Lancaster, PA
National Provider Identifier
1316504293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT027693
- Practice address
- 231 Granite Run Drive
Lancaster, PA 17601-6823 - Phone
- (717) 560-4200
- Fax
- (717) 560-4159
- NPI assigned
- May 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT027693 | PA | Primary |
Addresses
Primary practice location
231 Granite Run Drive
Lancaster, PA 17601-6823
Mailing address
231 Granite Run Drive
Lancaster, PA 17601-6823
Phone (717) 560-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1316504293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 GRANITE RUN DRIVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016823",
"telephone_number": "717-560-4200",
"fax_number": "717-560-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 GRANITE RUN DRIVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016823",
"telephone_number": "717-560-4200",
"fax_number": "717-560-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAAK",
"first_name": "TAYLOR",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-25",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT027693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.