Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE THOMAS BEALER, DO
ActiveSHANE THOMAS BEALER, DO is a Sports Medicine healthcare provider located in ROCK HILL, New York. NPI 1154941409 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · ROCK HILL, NY
Registration Details
- NPI Number
- 1154941409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2020 (6.1478127076232 yrs)
- Last Updated
- Jun 11, 2024
- Licenses
-
OT019811 (PA)329923 (NY)329923 (NY)
Practice Information
- Address
-
61 EMERALD PLROCK HILL, NY, 127756049Browse NY providers · Browse ZIP 12775
- Phone
- 8457036999
- Fax
- 8457036297
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.