Shane Setlock

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036644 Issued in NY

Practice address

9570 Transit Rd
East Amherst, NY 14051-1188

Phone

(716) 688-5709

NPI assigned

Aug 24, 2022

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Niagara Lutheran Development, Inc.

  dba Greenfield Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Lancaster, NY
  • NPI 1336100551
  NPD
• PRN Physical, Occupational and Speech Therapy Network, PLLC

  • Physical Therapist
  • East Greenbush, NY
  • NPI 1336185263
  NPD
• PRN Physical, Occupational and Speech Therapy Network, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Troy, NY
  • NPI 1568059665
  NPD
• 2850 Grand Island Boulevard Operating Company LLC

  dba Elderwood at Grand Island

  • Skilled Nursing Facility
  • Grand Island, NY
  • NPI 1013280759
  NPD (past)

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1730808585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SAINT ANTHONY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862388",
            "telephone_number": "716-983-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 TRANSIT RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511188",
            "telephone_number": "716-688-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETLOCK",
        "first_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Schuman
• Doris Marie Schwartz, O.D.
• Sierra Scott
• Senior Care at Home Inc (preferred care at home)
• Jennifer Serpe
• Keyur Shah, MD
• Shannon H McCarthy DDS PLLC
• Molly Ann Sheron, WHNP/CNMW
• Lynne Rifkin Shine, LMHC CRC
• Kalene Nicole Sieckmann, SLP

• Physical Therapist in East Amherst, NY
• Providers in East Amherst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.