Stephanie Shane, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039759 Issued in NY

Practice address

12 W 21St St FL 2
New York, NY 10010-6917

Phone

(646) 484-5763

Fax

(347) 287-6873

NPI assigned

Nov 24, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Shane Health and Strength Physical Therapy Pllcllc

  dba House of Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1750895041
  NPD Authorized official

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1528432853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 MIDWOOD AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104223",
            "telephone_number": "646-483-5763",
            "fax_number": "347-287-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W 21ST ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106917",
            "telephone_number": "646-484-5763",
            "fax_number": "347-287-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANE",
        "first_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Shandley
• Shandor Zelenger, O.D., P.C.
• Shane Health and Strength Physical Therapy Pllcllc (House of Physical Therapy)
• Amanda Shane
• Elizabeth Joan Shane, M.D.
• Steven Shane, DO
• Seth Shanefield
• Julia G Shaner, MS
• Jack Stacey Shanewise, M.D.
• Xaoling Shang, L.AC.

• Physical Therapist in New York, NY
• Providers in New York, 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 Nov 24, 2015; 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.