SHANE DAVIS PHYSICAL THERAPY PC (NPI# 1679812747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679812747 |
| Entity Type | Organization |
| Organization Name | SHANE DAVIS PHYSICAL THERAPY PC |
| Practice Address |
13040 State Route 12 Boonville NY 13309-4942 |
| Practice Telephone | 3153584028 |
| Practice Fax Number | 3153584186 |
| Mailing Telephone | 3153584028 |
| Mailing Fax Number | 3153584186 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | DR. SHANE DAVIS (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3153584028 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 022935 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13040 STATE ROUTE 12 |
| City | BOONVILLE |
| State | NY |
| Zip Code | 13309-4942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033170725 | Shane Davis | Physical Therapist | 13040 State Route 12, Boonville, NY 13309-4942 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447582606 | Jessica M Maurer | Pharmacist | 261 Utica Blvd, Boonville, NY 13309 | 2010-02-12 |
| 1104058791 | Tracy Bova | Registered Nurse | 13407 New York 12, Boonville, NY 13309 | 2009-08-14 |
| 1336347822 | Kph Healthcare Services, Inc. | Pharmacy | 261 Utica Boulevard, Boonville, NY 13309 | 2007-07-05 |
| 1487784278 | Bruce Michael Renders | Dentist | 109 Ann Street, Boonville, NY 13309 | 2007-03-07 |
| 1992870570 | Richard L Sears Thomas N Caruso Dds PC | Dentist | 3 Schuyler St, Boonville, NY 13309 | 2006-11-21 |
| 1124265749 | Sushma Sapkota Pandey | Internal Medicine | 13407 State Route 12, Boonville Family Care, Boonville, NY 13309 | 2009-01-20 |
| 1003090242 | Michele Van Dreason | Pharmacist | 261 Utica Boulevard, Boonville, NY 13309 | 2007-12-24 |
| 1144368127 | Ann F Mellen | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309 | 2007-02-02 |
| 1487678447 | Elizabeth Gleasman | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309 | 2006-07-26 |
| 1164465381 | Toby Kevin Davis | Clinical Neuropsychologist | 137 Main St., Boonville, NY 13309-0696 | 2006-06-14 |
| Find all providers in zip 13309 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376682955 | Reorganized School District No 1 | Physical Therapist | 736 Main St, Boonville, MO 65233-1656 | 2007-02-06 |
| 1033170725 | Shane Davis | Physical Therapist | 13040 State Route 12, Boonville, NY 13309-4942 | 2006-03-31 |
| 1891790291 | Jennifer Jo Hackman | Physical Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2005-06-14 |
| 1598045536 | Timothy R Tracy | Physical Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2011-08-22 |
| 1053550210 | Cathy Lynne Gearhart | Physical Therapist | 305 E North St, Boonville, IN 47601-1357 | 2009-02-11 |
| 1629293634 | Amy Christina Yunker | Physical Therapist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2007-04-16 |
| 1609930593 | Excel Physical Therapy & Sports Medicine Clinic | Physical Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2006-12-21 |
| 1003811258 | Kelley Nicole Chandler | Physical Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689425 | Maitry Damanwala | Physical Therapist | 774 Manor Rd Ste 210, Staten Island, NY 10314-7000 | 2020-11-08 |
| 1760083687 | Charles J Saxe | Physical Therapist | 338 Route 212 Ste 3, Saugerties, NY 12477-5110 | 2020-11-06 |
| 1396346441 | Joseph M Angello | Physical Therapist | 205 Crystal Creek Dr, Rochester, NY 14612-6002 | 2020-11-05 |
| 1093316242 | Steinway Physical Therapy | Physical Therapist | 2549 Steinway St, Astoria, NY 11103-4991 | 2020-11-04 |
| 1255932760 | Carley Ann-marie Johnston | Physical Therapist | 7309 Seneca Rd N Ste 108, Hornell, NY 14843-9691 | 2020-11-03 |
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1528669173 | Greenland Physical Therapy PC | Physical Therapist | 769 58th St Ste 1, Brooklyn, NY 11220-5180 | 2020-11-02 |
| 1891396321 | Victoria Lucile Schreiner | Physical Therapist | 10614 Versailles Plank Rd, North Collins, NY 14111-9764 | 2020-11-02 |
| 1700486362 | Hamdi Darouich | Physical Therapist | 180 Greenleaf Ave, Staten Island, NY 10310-2640 | 2020-10-31 |
| 1013517788 | Nathaniel Mark Mailloux | Physical Therapist | 65 Belmont Ave, West Babylon, NY 11704-6435 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.