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

Justine Shaner, PTA

Individual provider Physical Therapy Assistant · NPI 1477920569

Justine Shaner, PTA is a Physical Therapy Assistant in State College, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1930 Cliffside Dr
State College, PA 16801-7662
Phone: (814) 238-3139
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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 TEI004991 (PA)
Physical Therapy Assistant Taxonomy 225200000X · Licence TE010711 (PA)

Record details

NPI number1477920569
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 25, 2015
Last updated in NPPESApril 23, 2018

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