Shane D Connors, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01496600 Issued in NJ

Practice address

910 Park Ave Apt 1
Hoboken, NJ 07030-4265

Phone

(518) 588-6720

NPI assigned

Mar 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Activecare Physical Therapy LLCGroup PAC ID 4082501572, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

70.15 of 100Reported as group

Quality

51.13

Improvement activities

40

Cost

65.67

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.

• Activecare Physical Therapy LLC

  • Physical Therapist
  • Dover, NJ
  • NPI 1407898778
  Medicare reassignment Care Compare group NPD
• Synergy Physical Therapy LLC

  • Physical Therapist
  • Hackettstown, NJ
  • NPI 1326155748
  Medicare reassignment NPD
• St. Luke'S Warren Hospital, Inc.

  • Psychiatric Hospital Unit
  • Phillipsburg, NJ
  • NPI 1437155595
  NPD (past)

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1679872154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 PARK AVE APT 1",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304265",
            "telephone_number": "518-588-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 PARK AVE APT 1",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304265",
            "telephone_number": "518-588-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "SHANE",
        "middle_name": "D",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033531-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01496600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Patrick Coleman, PHD
• Column-CPH LLC
• Communication for All LLC
• Complete Nutrition & Wellness
• Melissa Connor, MA, RDN/ LDN
• Daniel Ghulammohd Contractor, MD
• Lauren Conway, M.A., BCBA
• Vanessa Correia, PT, DPT
• Marianela Cortes, LCSW
• Meghan Costa, PSY.D.

• Physical Therapist in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.