Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Devan Alexander Shambo, DPT

Individual provider Orthopedic Physical Therapist · NPI 1609409358

Dr. Devan Alexander Shambo, DPT is an Orthopedic Physical Therapist in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

310 Taughannock Blvd
Ithaca, NY 14850-3251
Phone: (607) 277-3861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 045562 (NY)

Record details

NPI number1609409358
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 20, 2020
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing address101 Uptown Rd Apt 31, Ithaca, NY 14850-1602

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