Individual provider Active NPI

Robert Allan Shymansky Jr., PT, DPT, CSCS

  • Physical Therapist
  • White Plains, MD
National Provider Identifier
1316692858
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28850 Issued in MD
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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 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, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240416001455 WA Practitioner - Physical Therapist in Private Practice 5799124301 Reassigns benefits to 1 organization
I20241007000999 NH Practitioner - Physical Therapist in Private Practice 5799124301 Reassigns benefits to 1 organization
I20250703004059 AZ Practitioner - Physical Therapist in Private Practice 5799124301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28850MDMDClinic Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Physical Therapy Physical Therapist CurrentSince Feb 24, 2022 Accepting new patients
Merrimack Valley Physical Therapy Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Strength Training Inc Physical Therapist CurrentSince Jun 23, 2025 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Strength Training Inc PastSince Jun 23, 2025 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.

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.

Verify at the official NPI Registry.