Active NPI
Dana P Shaffer, PT
- Physical Therapist
- Charleroi, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019273
- Practice address
- 625 Lincoln Ave
Suite 107 Professional Plaza
Charleroi, PA 15022-2451 - Phone
- (724) 483-1673
- Fax
- (724) 483-0290
- NPI assigned
- Nov 10, 2006
- Last updated
- Feb 11, 2009
- 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 | PT019273 | PA | Primary |
Addresses
Primary practice location
625 Lincoln Ave
Suite 107 Professional Plaza
Charleroi, PA 15022-2451
Mailing address
625 Lincoln Ave
Suite 107 Professional Plaza
Charleroi, PA 15022-2451
Phone (724) 483-1673
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 396610 | Other | PA | MEDICARE |
| 0015935850001 | Medicaid | PA | |
| 0016749970003 | Medicaid | PA | |
| 396751 | Other | PA | MEDICARE |
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3127 Washington Pike
Suite 200
Bridgeville, PA 15017-1440
Phone (412) 319-7689
3441 Millers Run Rd
Suite 104
Cecil, PA 15321-1403
Phone (724) 941-7070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic and Sports Physical Therapy Associates Inc | Physical Therapist | Current | Accepting new patients |
| Clifford Milowicki Physical Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Sports Physical Therapy Associates, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
3441 Millers Run Rd
Ste 104
Cecil, PA 15321
Phone (724) 338-2062
2001 Waterdam Plaza Dr
Ste 102
McMurray, PA 15317
Phone (724) 941-7070
625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-1673
500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FYZICAL Therapy and Balance Centers
- Physical Therapist
- McMurray, PA
- NPI 1023447570
-
- Physical Therapist
- Charleroi, PA
- NPI 1689636581
-
- Physical Therapist
- Pittsburgh, PA
- NPI 1003415829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1649341041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 LINCOLN AVE",
"address_2": "SUITE 107 PROFESSIONAL PLAZA",
"city": "CHARLEROI",
"state": "PA",
"postal_code": "150222451",
"telephone_number": "724-483-1673",
"fax_number": "724-483-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 LINCOLN AVE",
"address_2": "SUITE 107 PROFESSIONAL PLAZA",
"city": "CHARLEROI",
"state": "PA",
"postal_code": "150222451",
"telephone_number": "724-483-1673",
"fax_number": "724-483-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "DANA",
"middle_name": "P",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "396610",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015935850001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016749970003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "396751",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleroi, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.