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

Shane Fisher, PT, DPT

Individual provider Physical Therapist · NPI 1639668304

Shane Fisher, PT, DPT is a Physical Therapist in Private Practice in Gainesville, Florida. Qualified in 2018, 8 years ago. Practices with Coltman and Baughman Physical Therapy PA, a 10-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2018
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

4343 W Newberry Rd
Gainesville, FL 32607-2817
Phone: (352) 373-6565
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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 2305211865 (VA)

Record details

NPI number1639668304
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 8, 2018
Last updated in NPPESMay 8, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Coltman And Baughman Physical Therapy Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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