Shane Davis Physical Therapy PC
NPI 1679812747 · Physical Therapist · Boonville, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Davis Physical Therapy PC is a Physical Therapist organization in Boonville, NY (NPI 1679812747).
Provider details
- NPI number
- 1679812747
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Shane Davis, Physical Therapist(315) 358-4028
- License
- 022935 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2013-02-08
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Frequently asked questions
- What is Shane Davis Physical Therapy PC's NPI number?
- Shane Davis Physical Therapy PC's National Provider Identifier (NPI) is 1679812747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shane Davis Physical Therapy PC?
- Shane Davis Physical Therapy PC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shane Davis Physical Therapy PC located?
- Shane Davis Physical Therapy PC's practice location on file with NPPES is 13040 State Route 12, Boonville, NY 13309-4942.
- What is Shane Davis Physical Therapy PC's phone number?
- The practice phone number listed in the NPPES registry for Shane Davis Physical Therapy PC is (315) 358-4028.
- Does Shane Davis Physical Therapy PC accept Medicare?
- Shane Davis Physical Therapy PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shane Davis Physical Therapy PC?
- The authorized official listed on Shane Davis Physical Therapy PC's NPPES record is Shane Davis, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shane Davis Physical Therapy PC's NPI active?
- Yes — Shane Davis Physical Therapy PC's NPI (1679812747) is active in the NPPES registry as of the last update on 2025-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.