Shane Nibley
NPI 1255200846 · Rehabilitation Practitioner · South Lake Tahoe, CA
Shane Nibley is a Rehabilitation Practitioner provider in South Lake Tahoe, CA (NPI 1255200846).
Provider details
- NPI number
- 1255200846
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Day Training/Habilitation Specialist373H00000X
Nursing Service Related Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2025-11-01
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Frequently asked questions
- What is Shane Nibley's NPI number?
- Shane Nibley's National Provider Identifier (NPI) is 1255200846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Nibley's specialty?
- Shane Nibley is listed in the NPPES registry with a primary specialty of Rehabilitation Practitioner (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shane Nibley located?
- Shane Nibley's practice location on file with NPPES is 3079 Harrison Ave, South Lake Tahoe, CA 96150-7976.
- What is Shane Nibley's phone number?
- The practice phone number listed in the NPPES registry for Shane Nibley is (530) 957-6254.
- Is Shane Nibley's NPI active?
- Yes — Shane Nibley's NPI (1255200846) is active in the NPPES registry as of the last update on 2025-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.