Active NPIIndividual provider

Shane Henderson, DPT

Physical Therapist in Goshen, New York

NPI Number1619251006
Practice location
30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766
Fax
845-615-2224
Last updated
October 4, 2011

Shane Henderson is a Physical Therapist based in Goshen, NY. Shane Henderson practices in Goshen, NY and has the professional credentials of DPT. The NPI Number for Shane Henderson is 1619251006 and holds a License No. 034331 (NY). The current practice location address for Shane Henderson is 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 and can be reached out via phone at 845-615-2222 and via fax at 845-615-2224.

Provider Profile Details

NPI Number
1619251006
Provider Name
Shane Henderson
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766
Phone Number
845-615-2222
Fax Number
845-615-2224
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
October 4, 2011
Last Update Date
October 4, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Hatfield Ln
Suite 203
Goshen, NY 10924-6766
City
Goshen
Zip
10924-6766
Phone Number
845-615-2222
Fax Number
845-615-2224
Goshen, NY 10924Get directions →

Provider Business Mailing Address Details

Address
30 Hatfield Ln
Suite 203
Goshen, NY 10924-6766
City
Goshen
State
NY
Zip
10924-6766
Phone Number
845-615-2222
Fax Number
845-615-2224

License Information

License Number
034331
License State
NY
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shane Henderson, DPT?

The NPI number of Shane Henderson, DPT is 1619251006. It was assigned on October 4, 2011 and is currently active in the NPPES registry.

What is the specialty of Shane Henderson, DPT?

Shane Henderson, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 034331.

Where does Shane Henderson, DPT practice?

The practice location is 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766. The office can be reached at 845-615-2222 (phone) or 845-615-2224 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619251006 directly on the NPPES registry website.

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