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

Mr. Shane T Smith, PT

Individual provider Physical Therapist · NPI 1215968110

Mr. Shane T Smith, PT is a Physical Therapist in Private Practice in Spartanburg, South Carolina. Qualified in 1997, 29 years ago. Practices with Boone Physician Services LLC, a 240-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
29
Licensed in
SC
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2500 Winchester Pl Ste 100
Spartanburg, SC 29301-1550
Phone: (864) 574-7282
Fax: (864) 574-7664
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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 3441 (SC)

Record details

NPI number1215968110
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESAugust 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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