Active NPI
Dennis Shay, PT
- Physical Therapist
- Fort McNair, DC
National Provider Identifier
1487902755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022044
- Practice address
- 300 5TH Ave BLDG Marshall
Fort McNair, DC 20319-5066 - Phone
- (814) 221-5521
- NPI assigned
- Aug 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022044 | PA | Primary |
Addresses
Primary practice location
300 5TH Ave BLDG Marshall
Fort McNair, DC 20319-5066
Mailing address
264 Hill Ave
Charleston Afb, SC 29404
Other practice location 1
800 Irving Ave
Syracuse, NY 13210-2716
Phone (315) 425-4400 ext. 52383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022044 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1487902755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 HILL AVE",
"city": "CHARLESTON AFB",
"state": "SC",
"postal_code": "29404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 5TH AVE BLDG MARSHALL",
"city": "FORT MCNAIR",
"state": "DC",
"postal_code": "203195066",
"telephone_number": "814-221-5521"
}
],
"practiceLocations": [
{
"address_1": "800 Irving Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102716",
"country_code": "US",
"telephone_number": "315-425-4400 x52383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAY",
"first_name": "DENNIS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-17",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "022044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort McNair, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.