Active NPI
Shauna Marie Phillips, PT, DPT
- Physical Therapist
- Mountain Top, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026263
- Practice address
- 100 N Mountain Blvd
Mountain Top, PA 18707-1119 - Phone
- (570) 474-6100
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- 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 | PT026263 | PA | Primary |
Addresses
Primary practice location
100 N Mountain Blvd
Mountain Top, PA 18707-1119
Mailing address
50 Hildebrandt Rd
Dallas, PA 18612-9058
Other practice location 1
87 Oxford St
Hanover Twp, PA 18706-3350
Phone (570) 823-7761
Other practice location 2
1086 Highway 315 Blvd
Wilkes Barre, PA 18702-7012
Phone (570) 823-7761
Other practice location 3
106 Rotary Dr
West Hazleton, PA 18202-1182
Phone (570) 823-7761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Mountain Blvd
Mountain Top, PA 18707-1119
Phone (570) 474-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alycam Inc | Physical Therapist | Current | Accepting new patients |
| Derek Enterprises LLC | Physical Therapist | Current | Accepting new patients |
| Dylan RC Enterprises Inc | Physical Therapist | Current | Accepting new patients |
| Steffie Enterprises, Inc | Physical Therapist | Current | Accepting new patients |
Locations
87 Oxford St
Hanover Township, PA 18706
Phone (570) 387-2202
100 N Mountain Blvd
Mountain Top, PA 18707
Phone (570) 474-1171
693 Main St
New Milford, PA 18834
Phone (570) 465-2027
106 Rotary Dr
West Hazleton, PA 18202
Phone (570) 455-2286
1086 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 823-7761
Organizations & group practices 4
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.
-
- Physical Therapist
- Plains, PA
- NPI 1184700684
-
- Physical Therapist
- Hanover, PA
- NPI 1861578460
-
- Physical Therapist
- W Hazleton, PA
- NPI 1659457158
-
- Physical Therapist
- New Milford, PA
- NPI 1679165559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1609390772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 HILDEBRANDT RD",
"city": "DALLAS",
"state": "PA",
"postal_code": "186129058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N MOUNTAIN BLVD",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187071119",
"telephone_number": "570-474-6100"
}
],
"practiceLocations": [
{
"address_1": "87 Oxford St",
"address_purpose": "LOCATION",
"city": "Hanover Twp",
"state": "PA",
"postal_code": "187063350",
"country_code": "US",
"telephone_number": "570-823-7761",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1086 Highway 315 Blvd",
"address_purpose": "LOCATION",
"city": "Wilkes Barre",
"state": "PA",
"postal_code": "187027012",
"country_code": "US",
"telephone_number": "570-823-7761",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 Rotary Dr",
"address_purpose": "LOCATION",
"city": "West Hazleton",
"state": "PA",
"postal_code": "182021182",
"country_code": "US",
"telephone_number": "570-823-7761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "SHAUNA",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Top, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.