Individual provider Active NPI

Gary Darell Shields, P.T.

  • Orthopedic Physical Therapist
  • Newtown Square, PA
National Provider Identifier
1447218565
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT001156E Issued in PA
Practice address
3740 W Chester Pike
Newtown Square, PA 19073-3223
Phone
(610) 355-7623
Fax
(610) 355-7623
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT001156E PA Primary

Addresses

Primary practice location

3740 W Chester Pike
Newtown Square, PA 19073-3223

Mailing address

156 Old Kennett Rd
Kennett Square, PA 19348-2632
Phone (610) 444-8648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331000581 PA Practitioner - Physical Therapist in Private Practice 9739602848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, 493 clinicians

Practice addresses (Care Compare)

660 E Cypress St
Suite 104
Kennett Square, PA 19348-2775
Phone (484) 730-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East, Inc. Orthopedic Current Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

660 E Cypress St
Ste 104
Kennett Square, PA 19348
Phone (484) 730-8001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447218565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 OLD KENNETT RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482632",
            "telephone_number": "610-444-8648",
            "fax_number": "610-444-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W CHESTER PIKE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733223",
            "telephone_number": "610-355-7623",
            "fax_number": "610-355-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "GARY",
        "middle_name": "DARELL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT001156E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.