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

Individual provider Athletic Trainer · NPI 1841689049

Ian Shultis, PT, ATC is an Athletic Trainer in Millbrook, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2 Frnt ST
Millbrook, NY 12545-5948
Phone: (845) 677-5021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 517 Noxon Rd, Poughkeepsie, NY 12603-3750 — (845) 238-1859

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 048547 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence 002788 (NY)

Record details

NPI number1841689049
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , ATC
Sole proprietorNo
NPI enumeratedJanuary 12, 2015
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

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