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

Dr. Shelly Lebenson, DPT

Individual provider Skilled Nursing Facility · NPI 1104216928

Dr. Shelly Lebenson, DPT is a Physical Therapist in Private Practice in Kingston, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Prime Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2015
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

623 Gibson Ave
Kingston, PA 18704-5319
Phone: (570) 817-0580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Skilled Nursing Facility Taxonomy 314000000X

Record details

NPI number1104216928
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 1, 2015
Last updated in NPPESApril 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Prime Physical Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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