Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE DAVIS PHYSICAL THERAPY PC
Active OrganizationPhysical Therapy Assistant · BOONVILLE, NY
Registration Details
- NPI Number
- 1679812747
- Provider Type
- Organization
- NPI Issued
- Feb 8, 2013 (13.260071187047 yrs)
- Last Updated
- Jun 27, 2025
- License
-
022935 (NY)
Practice Information
- Address
-
13040 STATE ROUTE 12BOONVILLE, NY, 133094942Browse NY providers · Browse ZIP 13309
- Phone
- 3153584028
- Fax
- 3153584394
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.