SHANE D CONNORS (PT, DPT) – Physical Therapist, NPI 1679872154

SHANE D CONNORS (PT, DPT) is a healthcare provider. based in Hoboken, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 033531-1 (NY). The NPI Number for SHANE D CONNORS (PT, DPT) is 1679872154

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
SHANE D CONNORS (PT, DPT)
NPI
1679872154
Phone
(518) 588-6720
Address
910 PARK AVE APT 1
Enumeration Date
23 March 2011
Last Update Date
22 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9735989111
Graduation Year
2012 (14 years ago)
PAC ID
2163608654
Group Practice PAC ID
4082501572
Professional Enrollment ID
I20130702000260
Address ID
NJ078529667LE501XX10XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for SHANE D CONNORS (PT, DPT)

  • 910 PARK AVE APT 1

    HOBOKEN, NJ 070304265

    Phone: (518) 588-6720

    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: 2013-07-02

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
I20130702000260IPhysical 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 minutes57744$0
97140Therapy procedure using manual technique, each 15 minutes47536$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes40832$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care2511$0
97161Evaluation for physical therapy, typically 20 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 07030)

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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: 4082501572View full group profile
NameSpecialtyState
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

What unique ID ties claims to SHANE D CONNORS (PT, DPT)?
NPI 1679872154 is assigned to SHANE D CONNORS (PT, DPT) under the national enumeration system.
Is SHANE D CONNORS (PT, DPT) active in the national directory?
SHANE D CONNORS (PT, DPT)'s public NPI profile is in an active state.
What field does SHANE D CONNORS (PT, DPT) work in?
You can think of SHANE D CONNORS (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is SHANE D CONNORS (PT, DPT)'s primary listing?
We display Hoboken, New Jersey because that is what the record indicates for SHANE D CONNORS (PT, DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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