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

Shawn Berry, PT

Individual provider Physical Therapist · NPI 1063295889

Shawn Berry, PT is a Physical Therapist in Private Practice in Boonton, New Jersey. Qualified in 2023, 3 years ago. Practices with Four 3 Performance Laboratory Corp, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

315 Wootton Street Units I And J
Boonton, NJ 07005
Phone: (973) 794-6040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02179300 (NJ)

Record details

NPI number1063295889
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address315 Wootton Street, Units I And J, Boonton, NJ 07005

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)
Group practice Four 3 Performance Laboratory Corp — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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