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

Individual provider Physical Therapist · NPI 1609465095

Kylie Shafer, PT, DPT, PCS is a Physical Therapist in Watertown, New York. Practices as a sole proprietor. Licensed in Colorado and New York.

Licensed in
CO, NY
In the registry since
2021
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

420 Gaffney Dr
Watertown, NY 13601-1823
Phone: (315) 788-2730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 054332 (NY)
Physical Therapist Taxonomy 225100000X · Licence 0017467 (CO)

Record details

NPI number1609465095
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , PCS
Sole proprietorYes
NPI enumeratedJanuary 11, 2021
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

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