Active NPI
Kathryn Shanley, DPT, PT
- Physical Therapist
- Gilbertsville, PA
National Provider Identifier
1750711545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023305
- Practice address
- 1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307 - Phone
- (610) 327-2600
- Fax
- (610) 327-9050
- NPI assigned
- Nov 15, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 023305 | PA | Primary |
Addresses
Primary practice location
1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307
Mailing address
1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307
Phone (610) 327-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023305 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1750711545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 SWAMP PIKE",
"address_2": "SUITE 100",
"city": "GILBERTSVILLE",
"state": "PA",
"postal_code": "195259307",
"telephone_number": "610-327-2600",
"fax_number": "610-327-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 SWAMP PIKE",
"address_2": "SUITE 100",
"city": "GILBERTSVILLE",
"state": "PA",
"postal_code": "195259307",
"telephone_number": "610-327-2600",
"fax_number": "610-327-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANLEY",
"first_name": "KATHRYN",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "023305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbertsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.