SHANE DEAN MCDONALD (P.T.) – Physical Therapist, NPI 1528016060

SHANE DEAN MCDONALD (P.T.) is a healthcare provider. based in Fort belvoir, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT00010016 (WA). The NPI Number for SHANE DEAN MCDONALD (P.T.) is 1528016060

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
SHANE DEAN MCDONALD (P.T.)
NPI
1528016060
Phone
(571) 231-9198
Address
9300 DeWitt Loop
Enumeration Date
5 May 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2536972340
Graduation Year
2009 (17 years ago)
PAC ID
6507212503
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20231027000685
Address ID
WA983723138PU1423XMAIN300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for SHANE DEAN MCDONALD (P.T.)

  • 9300 DeWitt Loop

    Fort Belvoir, VA 220605285

    Phone: (571) 231-9198

    Type: Location

  • 62ND MEDICAL BRIGADE

    BLDG 2019 LIGGET AVE

    JBLM, WA 98433

    Phone:

    Type: Mailing

  • Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States

    TACOMA, WA 984315285

    Phone: (253) 968-2252

    Fax: (253) 968-3278

    Type: Location

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: 2023-10-27

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
I20231027000685IPhysical Therapist In Private PracticeWATBD

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
97530Therapy procedure using functional activities10213$0
View full utilization report →

Insurance plans in this area (ZIP 22060)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

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Frequently asked questions

Is SHANE DEAN MCDONALD (P.T.) listed with a National Provider Identifier?
Yes — SHANE DEAN MCDONALD (P.T.) has NPI 1528016060 on file in the registry.
Is SHANE DEAN MCDONALD (P.T.) still an active registrant?
SHANE DEAN MCDONALD (P.T.) carries an active NPI according to the public dataset.
What area of care is associated with SHANE DEAN MCDONALD (P.T.)?
SHANE DEAN MCDONALD (P.T.)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SHANE DEAN MCDONALD (P.T.) associated with Fort Belvoir?
Public fields place SHANE DEAN MCDONALD (P.T.) around Fort Belvoir, Virginia. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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