Shane Davis, PT
Shane Davis, PT is a Physical Therapist in Private Practice in Boonville, New York. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 29
- Licensed in
- NY
- In the registry since
- 2006
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
13040 State Route 12Boonville, NY 13309-4942
Phone: (315) 358-4028
Fax: (315) 358-4394
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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 022935 (NY) |
|---|
Record details
| NPI number | 1033170725 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT |
| Sole proprietor | Yes |
| NPI enumerated | March 31, 2006 |
| Last updated in NPPES | June 27, 2025 |
| Certification date | June 27, 2025 |
| Mailing address | 13040 State Route 12, Boonville, NY 13309-4942 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Boonville
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Shane Davis Physical Therapy PC
13040 State Route 12, Boonville, NY 13309-4942 · (315) 358-4028