IndividualActiveAccepts Medicare

Shane Burgess, PT, DPT

NPI 1891209706 · Physical Therapist · Fort Carson, CO

Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1891209706
Entity type: Individual
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: PT, DPT
Sex: Female
Sole proprietor: No
License: PT293973 (CA)

Specialties & taxonomies

Physical TherapistPrimary225100000XLicense PTL.0017979 (CO)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist225100000XLicense PT293973 (CA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Detailed profile(78/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
10 documented practice locations

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

1650 Cochrane Cir Bldg 7505

Fort Carson, CO 80913-4604

Phone: (719) 526-5231

Street-level locationGet directions

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Mailing address