Active NPI
Shawn Giebner, PT, ATC
- Sports Physical Therapist
- Rochester, NY
National Provider Identifier
1942484076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 62 027491
- Practice address
- 4901 Lac Deville Blvd.
Building D Suite 110
Rochester, NY 14618 - Phone
- (585) 341-9150
- Fax
- (585) 340-9745
- NPI assigned
- Dec 26, 2007
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 62 027491 | NY | Primary |
Addresses
Primary practice location
4901 Lac Deville Blvd.
Building D Suite 110
Rochester, NY 14618
Mailing address
4901 Lac Deville Blvd.
Building D Suite 110
Rochester, NY 14618
Phone (585) 341-9150
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62 027491 | NY | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1942484076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 LAC DEVILLE BLVD.",
"address_2": "BUILDING D SUITE 110",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-341-9150",
"fax_number": "585-340-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 LAC DEVILLE BLVD.",
"address_2": "BUILDING D SUITE 110",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-341-9150",
"fax_number": "585-340-9745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIEBNER",
"first_name": "SHAWN",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NY",
"license": "62 027491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.