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

Geoffrey Shupp

Individual provider Physical Therapy Assistant · NPI 1952829574

Geoffrey Shupp is a Physical Therapy Assistant in Phoenix, Arizona. Licensed in Connecticut. Registered with an NPI since 2017.

Licensed in
CT
In the registry since
2017

Practice location Address checks out

7540 N 19th Ave Ste 200
Phoenix, AZ 85021
Phone: (602) 324-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 001846 (CT)

Record details

NPI number1952829574
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 4, 2017
Last updated in NPPESJuly 21, 2022
Mailing address7540 N 19th Ave Ste 200, Phoenix, AZ 85021

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