Active NPI
Robert Allan Shymansky Jr., PT, DPT, CSCS
- Physical Therapist
- White Plains, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28850
- Practice address
- 4470 Regency PL Ste 100
White Plains, MD 20695-3085 - Phone
- (301) 934-5336
- NPI assigned
- Feb 14, 2022
- Last updated
- Feb 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 28850 | MD | Primary |
Addresses
Primary practice location
4470 Regency PL Ste 100
White Plains, MD 20695-3085
Mailing address
PO Box 386
Cobb Island, MD 20625-0386
Phone (301) 848-1183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, NH, AZ
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28850 | MD | MD | Clinic Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Sports Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Merrimack Valley Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Strength Training Inc | Physical Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
| Strength Training Inc | Past | Accepting new patients |
Locations
17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836
11361 S Foothills Blvd
Ste 3
Yuma, AZ 85367
Phone (928) 342-7234
4470 Regency Pl
Ste 100
White Plains, MD 20695
Phone (301) 645-6680
12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592
2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Silverdale, WA
- NPI 1912902347
-
dba MVPT Physical Therapy
- Physical Therapist
- Bedford, NH
- NPI 1194771139
-
- Physical Therapist
- White Plains, MD
- NPI 1003031923
-
- Durable Medical Equipment & Medical Supplies
- Kingston, WA
- NPI 1700466083
Physical Therapist
-
dba STI Therapy Division
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1316692858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 386",
"city": "COBB ISLAND",
"state": "MD",
"postal_code": "206250386",
"telephone_number": "301-848-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4470 REGENCY PL STE 100",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206953085",
"telephone_number": "301-934-5336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHYMANSKY",
"first_name": "ROBERT",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-14",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.