Shelby Sienna Goore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052062 Issued in NY

Practice address

55 Broadway Mall
Hornell, NY 14843-1919

Phone

(607) 324-9344

Fax

(607) 324-9345

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maple City Physical Therapy PLLCGroup PAC ID 4789800467, 7 clinicians

Chemung-Schuyler Counties Chapter, Nysarc, IncGroup PAC ID 3577980622, 17 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.

• Chemung-Schuyler Counties Chapter, Nysarc, Inc.

  • Developmental Disabilities Clinic/Center
  • Elmira, NY
  • NPI 1174146401
  Medicare reassignment Care Compare group NPD
• Maple City Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Hornell, NY
  • NPI 1821411802

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1336903285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BROADWAY MALL",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431919",
            "telephone_number": "607-324-9344",
            "fax_number": "607-324-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BROADWAY MALL",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431919",
            "telephone_number": "607-324-9344",
            "fax_number": "607-324-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOORE",
        "first_name": "SHELBY",
        "middle_name": "SIENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PT LICENSE",
            "identifier": "052062",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Giese
• Kimberly S Glover, LMT
• Sara Lee Goins, NP
• Barbara Good
• Jada L Goodridge, LPN
• Michael Gornish, MD
• Tracy Graham
• Amanda Gabrielle Graves, MD
• Gail Susan Gray, PH.D.
• Stephan Michael Greenberg, M.D.

• Physical Therapist in Hornell, NY
• Providers in Hornell, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.