Active NPI
Bradley Christopher Shaffer, DPT
- Physical Therapist
- Millersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT027068
- Practice address
- 100 S First Street
Ste B
Millersburg, PA 17061-1501 - Phone
- (717) 692-4708
- Fax
- (717) 692-5464
- NPI assigned
- Aug 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | PT027068 | PA | Primary |
Addresses
Primary practice location
100 S First Street
Ste B
Millersburg, PA 17061-1501
Mailing address
7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123
Other practice location 1
5108 E Trindle Rd Ste 200
Mechanicsburg, PA 17050-3300
Phone (717) 790-9920
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 1St St
Millersburg, PA 17061-1501
Phone (717) 692-4834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Rehabilitation Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Family Practice Center, PC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Family Practice Center, PC | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
5108 E Trindle Rd
Ste 200
Mechanicsburg, PA 17050
Phone (717) 790-9920
7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123
100 1st St
Ste B
Millersburg, PA 17061
Phone (717) 692-4708
100 1st St
Millersburg, PA 17061
Phone (717) 692-4834
Interoperability endpoints
- brshaffer@direct.cprspt.com
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1689152472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DOCK HILL RD",
"city": "MIDDLEBURG",
"state": "PA",
"postal_code": "178428910",
"telephone_number": "570-837-2123",
"fax_number": "570-837-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S FIRST STREET",
"address_2": "STE B",
"city": "MILLERSBURG",
"state": "PA",
"postal_code": "170611501",
"telephone_number": "717-692-4708",
"fax_number": "717-692-5464"
}
],
"practiceLocations": [
{
"address_1": "5108 E Trindle Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170503300",
"country_code": "US",
"telephone_number": "717-790-9920",
"fax_number": "717-790-9923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAFFER",
"first_name": "BRADLEY",
"middle_name": "CHRISTOPHER",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-02",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT027068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.