Active NPIIndividual provider

Evan B Shibley, DPT

Physical Therapist in Chester, New Jersey

NPI Number1811522212
Practice location
95 W Main St Ste 6, Chester, NJ 07930-2487
Fax
908-879-7635
Last updated
January 11, 2021

Evan Brett Shibley is a Physical Therapist based in Chester, NJ. Evan Brett Shibley practices in Chester, NJ and has the professional credentials of DPT. The NPI Number for Evan Brett Shibley is 1811522212 and holds a License No. PT028444 (PA). The current practice location address for Evan Brett Shibley is 95 W Main St Ste 6, Chester, NJ 07930-2487 and can be reached out via phone at 908-879-7364 and via fax at 908-879-7635.

Provider Profile Details

NPI Number
1811522212
Provider Name
Evan Brett Shibley
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
95 W Main St Ste 6, Chester, NJ 07930-2487
Phone Number
908-879-7364
Fax Number
908-879-7635
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 5, 2020
Last Update Date
January 11, 2021
Certification Date
January 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 W Main St Ste 6
Chester, NJ 07930-2487
Zip
07930-2487
Phone Number
908-879-7364
Fax Number
908-879-7635
Chester, NJ 07930Get directions →

Provider Business Mailing Address Details

Address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
City
Islandia
State
NY
Zip
11749-5258
Phone Number
631-580-5200
Fax Number
631-760-8306

License Information

License Number (1)
PT028444
License State (1)
PA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40QA01986800
License State (2)
NJ
Taxonomy (2)
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 Evan B Shibley, DPT?

The NPI number of Evan B Shibley, DPT is 1811522212. It was assigned on March 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Evan B Shibley, DPT?

Evan B Shibley, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in PA under license number PT028444.

Where does Evan B Shibley, DPT practice?

The practice location is 95 W Main St Ste 6, Chester, NJ 07930-2487. The office can be reached at 908-879-7364 (phone) or 908-879-7635 (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 1811522212 directly on the NPPES registry website.

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