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

Individual provider Physical Therapist · NPI 1487238721

Shane Omer, DPT is a Physical Therapist in Private Practice in Palmer, Alaska. Qualified in 2020, 6 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
6
Licensed in
AK
In the registry since
2021
Specialties on file
2
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

304 W Evergreen Ave Ste 101
Palmer, AK 99645-6970
Phone: (907) 745-8686
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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 194449 (AK)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1487238721
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 12, 2021
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022
Mailing address512 Gold Key Ln, Palmer, AK 99645-6178

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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