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

Individual provider Physical Therapist · NPI 1497150916

Kelly Ann Shane, PT, DPT is a Physical Therapist in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona and New Jersey.

Licensed in
AZ, NJ
In the registry since
2014
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 815 Broadway, Bayonne, NJ 07002-2919 — (201) 823-6014

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-32277 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 40QA01549100 (NJ)

Record details

NPI number1497150916
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 27, 2014
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

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