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

Miss. Shanna Haddow, DPT

Individual provider Physical Therapist · NPI 1659155810

Miss. Shanna Haddow, DPT is a Physical Therapist in Private Practice in Islip, New York. Qualified in 2023, 3 years ago. Practices with Professional Care Physical Therapy and Rehabilitation PC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

159 Islip Ave
Islip, NY 11751-3210
Phone: (631) 650-6347
Fax: (631) 650-6346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 — (631) 775-0971

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 050850 (NY)

Record details

NPI number1659155810
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Professional Care Physical Therapy And Rehabilitation P.C — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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