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

Shantell T Enonuya

Individual provider Physical Therapist · NPI 1891455069

Shantell T Enonuya is a Physical Therapist in Private Practice in Bowie, Maryland. Qualified in 2021, 5 years ago. Practices with Proflex Physical Therapy of Maryland, LLC, a 38-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

6842 Race Track Rd Ste B
Bowie, MD 20715-3011
Phone: (240) 544-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1891455069
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2021
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Proflex Physical Therapy Of Maryland, Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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