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

Individual provider Physical Therapist · NPI 1629769914

Shane Thomas Mathew, PT, DPT is a Physical Therapist in Private Practice in Durham, North Carolina. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Florida and North Carolina.

Years since qualifying
3
Licensed in
FL, NC
In the registry since
2023
Specialties on file
2
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

40 Duke Medicine Cir
Durham, NC 27710-6437
Phone: (919) 684-2445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3848 Fau Blvd Ste 105, Boca Raton, FL 33431-6437 — (561) 997-5210

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P22253 (NC)
Physical Therapist Taxonomy 225100000X · Licence PT40196 (FL)

Record details

NPI number1629769914
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 17, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023
Mailing address9700 Nw 48th Dr, Coral Springs, FL 33076-2443

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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