IndividualActive
Holly Shane, DPT
NPI 1194123976 · Physical Therapist · North East, MD
Provider details
- NPI number
- 1194123976
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 25331 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2314 Pulaski Hwy
Suite a
North East, MD 21901-3730
Phone: (410) 287-2940
Fax: (410) 287-2941
Street-level locationGet directions
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Registry dates
- Enumerated
- 2014-12-10
- Last updated
- 2016-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.