Jesse Sheaffer, DPT
Individual provider Active NPI Physical Therapist · Millerstown, PA
NPI 1700622933 · NPPES record last updated Jul 8, 2024
Key facts
- NPI
- 1700622933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13991602-2401 (UT)
- Practice address
- 3622 Raccoon Valley Rd
Millerstown, PA 17062-8787 - Phone
- (717) 636-8048
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13991602-2401 | UT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13991602-2401 | UT | Yes |
Addresses
Primary practice location
3622 Raccoon Valley Rd
Millerstown, PA 17062-8787
Mailing address
3622 Raccoon Valley Rd
Millerstown, PA 17062-8787
Other providers in Millerstown, PA
- Thomas Richard Nankivell
- Andrew O'Shura
- Joanne Peters
- David William Rumberger
- Jason L Savant
- Jamie Kay Spriggle
All providers in Millerstown, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.