Shake Rehabilitation Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SHAKE REHABILITATION SERVICES LLC

Doing business as

Abound Performance Physical Therapy

Practice address

4224 N Nevada Ave Ste 200
Colorado Springs, CO 80907-4368

Phone

(719) 900-1817

NPI assigned

May 2, 2024

Organization subpart

No

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

Authorized official

Name

Bennett ShakeNPI 1235648866

Title

Owner and Physical Therapist

Phone

(214) 232-2289

Specialties & licenses 1

Addresses

Other names 1

• Abound Performance Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bennett Shake, DPT

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1235648866
  NPD Authorized official

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1437906096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4082 WARTHOG HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809163402",
            "telephone_number": "214-232-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 N NEVADA AVE STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074368",
            "telephone_number": "719-900-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKE REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "SHAKE",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_title_or_position": "OWNER AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "214-232-2289"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abound Performance Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bijan Shafii
• Jahan Shafii
• Minal Atul Shah, M.D.
• Katherine Lynette Shahin
• Kaitlyn Shain, PT
• Bennett Shake, DPT
• Ramez Shakhashiro, RBT
• Sam Shamsnia, M.D.
• Amy Shandy
• Amelia Shane

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.