SHANE FISHER (PT, DPT) – Physical Therapist, NPI 1639668304

SHANE FISHER (PT, DPT) is a healthcare provider. based in Gainesville, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 2305211865 (VA). The NPI Number for SHANE FISHER (PT, DPT) is 1639668304

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
SHANE FISHER (PT, DPT)
NPI
1639668304
Phone
(352) 373-6565
Address
4343 W NEWBERRY RD
Enumeration Date
8 May 2018
Last Update Date
8 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048535106
Graduation Year
2018 (8 years ago)
PAC ID
0446508386
Group Practice PAC ID
6305063488
Professional Enrollment ID
I20180808002945
Address ID
FL322505024JA350XXSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for SHANE FISHER (PT, DPT)

  • West Newberry Road, Beville Heights, Gainesville, Alachua County, Florida, 32607, United States

    GAINESVILLE, FL 326072817

    Phone: (352) 373-6565

    Type: Location

  • 4455 SW 34TH ST APT Q88

    GAINESVILLE, FL 326086549

    Phone: (561) 876-5800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180808002945IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19631$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18526$0
97140Therapy procedure using manual technique, each 15 minutes13024$0
97161Evaluation for physical therapy, typically 20 minutes2525$0
97530Therapy procedure using functional activities2313$0
View full utilization report →

Insurance plans in this area (ZIP 32607)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305063488View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeAL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

How do I look up SHANE FISHER (PT, DPT) by NPI?
Use NPI 1639668304 when you need to reference SHANE FISHER (PT, DPT) in forms, claims, or directories.
Is SHANE FISHER (PT, DPT) currently active in the NPI registry?
CMS-published data lists SHANE FISHER (PT, DPT) as an active registrant.
What does SHANE FISHER (PT, DPT) treat or focus on?
Patients typically see SHANE FISHER (PT, DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is SHANE FISHER (PT, DPT)'s primary listing?
We display Gainesville, Florida because that is what the record indicates for SHANE FISHER (PT, DPT).
What if Gainesville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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