Evan Brett Shibley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01986800 Issued in NJ

Practice address

95 W Main St Ste 6
Chester, NJ 07930-2487

Phone

(908) 879-7364

Fax

(908) 879-7635

NPI assigned

Mar 5, 2020

Last updated

Jan 11, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Enrollment records 2

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.

• Drayer Physical Therapy of New Jersey LLC

  • Physical Therapist
  • Flanders, NJ
  • NPI 1154746477
  Medicare reassignment NPD
• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Hummelstown, PA
  • NPI 1538122700
  Medicare reassignment NPD
• Drayer Physical Therapy of New Jersey LLC

  • Physical Therapist
  • Sparta, NJ
  • NPI 1568887875
  NPD
• Ivyrehab Network Inc

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1861623753
  NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • York, PA
  • NPI 1053348409
  NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Bellefonte, PA
  • NPI 1205002300
  NPD
• New Jersey Sport & Spine, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Hackettstown, NJ
  • NPI 1740261916
  NPD (past)

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1811522212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W MAIN ST STE 6",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302487",
            "telephone_number": "908-879-7364",
            "fax_number": "908-879-7635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6560 Carlisle Pike Ste 425",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170508246",
            "country_code": "US",
            "telephone_number": "717-506-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIBLEY",
        "first_name": "EVAN",
        "middle_name": "BRETT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-05",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028444",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01986800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Sebastian, MD
• Lauren Seidman
• Tracy Sena
• Stephanie Rowe Shaeffer, MS CCC-SLP CERT. AVT
• Vipul Shah, MD
• Jaclyn Shoemaker, FNP
• Sica Psychiatry, LLC
• Gurpreet Singh Sidhu, M.D.
• Nancy Sidhu, PH.D.
• Niki Arif Silverstein, M.D.

• Physical Therapist in Chester, NJ
• Providers in Chester, 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 Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.