Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shane Jeffrey Angle

Individual provider Athletic Trainer · NPI 1659992774

Shane Jeffrey Angle is registered under Physical Therapist in Private Practice in University Park, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Motive Sports and Physical Therapy, PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2020
Specialties on file
3
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Practice location Partly verified

Some contact details are missing from the federal record.

Rec Hall Burrowes Rd
University Park, PA 16802
Phone: (814) 865-5284
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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 PT033319 (PA)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659992774
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Motive Sports And Physical Therapy, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Motive Sports and Physical Therapy, PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 7 clinicians in the practice; 4 are shown here.

Other providers in University Park