Shadley Centofanti, DC, IBCLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011242 Issued in PA

Practice address

302 Castle Shannon Blvd
Pittsburgh, PA 15234-1404

Phone

(586) 243-5426

NPI assigned

Jun 14, 2017

Last updated

Jan 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shadley Philipp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Form and Function Pelvic Health, Inc.

  • Physical Therapy Clinic/Center
  • Pittsburgh, PA
  • NPI 1639870819
  NPD

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1922538776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 POPLAR DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CASTLE SHANNON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341404",
            "telephone_number": "586-243-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTOFANTI",
        "first_name": "SHADLEY",
        "name_prefix": "Dr.",
        "credential": "DC, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011242",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-320326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHADLEY",
            "last_name": "PHILIPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Center for Resilience Strategies LLC
• Center for Spirituality in 12 Step Recovery (Fresh Start Program)
• Center for Victims
• Center Light Home Care LLC
• Center Pointe Sleep Associates
• Thomas Centofanti, DC
• Central Cardiovascular Associates, P.C. (SouthWestern Pennsylvania Cardiovascular Associates)
• Central Optique, Inc (dalmo optical)
• Central Outreach Resource and Referral Center
• Central Outreach Wellness Center

• Chiropractor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.