Individual provider Active NPI

Dana P Shaffer, PT

  • Physical Therapist
  • Charleroi, PA
National Provider Identifier
1649341041
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019273 Issued in PA
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
396610OtherPAMEDICARE
0015935850001MedicaidPA
0016749970003MedicaidPA
396751OtherPAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090722000140 PA Practitioner - Physical Therapist in Private Practice 4183776115 Reassigns benefits to 2 organizations

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
Clifford Milowicki Physical Therapy Services LLCGroup PAC ID 9638309743, 7 clinicians

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

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Associates Inc Physical Therapist CurrentSince Jul 1, 2009 Accepting new patients
Clifford Milowicki Physical Therapy Services LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Orthopedic & Sports Physical Therapy Associates, Inc. Physical Therapist CurrentSince Jul 1, 2009 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.

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.

Verify at the official NPI Registry.