Shane Jacob O'Mara, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017719 Issued in MI

Practice address

2618 Center Ave
Bay City, MI 48708-6300

Phone

(989) 892-4557

NPI assigned

Jun 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services Mi LLCGroup PAC ID 2769819960, 84 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.

• Fox Rehabilitation Services Mi LLC

  • Physical Therapist
  • Canton, MI
  • NPI 1790324648
  Medicare reassignment Care Compare group NPD
• Craig Elford Physical Therapy PLLC

  • Orthopedic Physical Therapist
  • Midland, MI
  • NPI 1982381794
  Medicare reassignment NPD
• Renue 001 Freeland LLC

  • Physical Therapy Clinic/Center
  • Freeland, MI
  • NPI 1922385707

  Physical Therapist

  Medicare reassignment NPD
• Renue 002 Bay City LLC

  • Physical Therapy Clinic/Center
  • Bay City, MI
  • NPI 1922379320

  Physical Therapist

  Medicare reassignment NPD
• Renue 003 Saginaw LLC

  • Physical Therapist
  • Saginaw, MI
  • NPI 1578845285
  Medicare reassignment NPD
• Renue 004 Bridgeport, LLC

  • Physical Therapist
  • Bridgeport, MI
  • NPI 1952740466
  Medicare reassignment NPD
• Renue 006 Saginaw State St LLC

  • Physical Therapist
  • Saginaw, MI
  • NPI 1871835405
  Medicare reassignment NPD
• Renue 009 Midland LLC

  • Physical Therapy Clinic/Center
  • Midland, MI
  • NPI 1174963961

  Physical Therapist

  Medicare reassignment NPD
• Renue 012 Essexville, LLC

  • Physical Therapist
  • Bay City, MI
  • NPI 1548740871
  Medicare reassignment NPD
• Renue 018 Tawas, LLC

  • Physical Therapy Clinic/Center
  • Tawas City, MI
  • NPI 1790452043

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1356799266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N WATER ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085620",
            "telephone_number": "989-450-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086300",
            "telephone_number": "989-892-4557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Wilder Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487062482",
            "country_code": "US",
            "telephone_number": "989-402-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "SHANE",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather O'Brien
• Logan O'Hare
• Nancy O'Hare, CNM
• Teagan Ryann O'Hare
• Alexandria Lee O'Hearn, OTRL
• Daniel O'Shea
• Oakland Orthopedic Appliances Inc
• Timothy Obertein, BCBA
• Chelsea Oconnell, DNAP
• Lindsay Anna Oczepek

• Physical Therapist in Bay City, MI
• Providers in Bay City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.