SHAWN BERRY (PT) – Physical Therapist, NPI 1063295889

SHAWN BERRY (PT) is a healthcare provider. based in Boonton, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 40QA02179300 (NJ). The NPI Number for SHAWN BERRY (PT) is 1063295889

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN BERRY (PT)
NPI
1063295889
Phone
Not provided
Address
315 WOOTTON STREET
Enumeration Date
15 August 2023
Last Update Date
15 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9737946040
Graduation Year
2023 (3 years ago)
PAC ID
5294198776
Group Practice PAC ID
3779831714
Professional Enrollment ID
I20230831000318
Address ID
NJ070051939BO315XXSTXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,954 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for SHAWN BERRY (PT)

  • 315 WOOTTON STREET

    UNITS I AND J

    BOONTON, NJ 07005

    Phone:

    Mailing address matches the actual address.

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: 2023-08-31

PECOS data refreshed: 2026-06-15

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
I20230831000318IPhysical Therapist In Private PracticeNJTBD

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 minutes54235$0
97140Therapy procedure using manual technique, each 15 minutes24332$0
View full utilization report →

Insurance plans in this area (ZIP 07005)

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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: 3779831714View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

How do payers reference SHAWN BERRY (PT)?
For SHAWN BERRY (PT), use NPI 1063295889 as the unique 10-digit identifier.
Is SHAWN BERRY (PT) shown as active in public data?
Registry records indicate SHAWN BERRY (PT) maintains an active NPI.
What expertise is attributed to SHAWN BERRY (PT)?
SHAWN BERRY (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SHAWN BERRY (PT) associated with Boonton?
Public fields place SHAWN BERRY (PT) around Boonton, New Jersey. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SHAWN BERRY (PT) is noted as August 15, 2023 where the registry provides it.

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