Shannine Banawa Consolacion
NPI 1063252054ActiveIndividual· Physical Therapist· Sunrise, FL
Physical Therapist with Serc Rehabilitation Partners, LLC, practicing in Sunrise, Florida. Medicare paid $30,742 for services to 70 patients in 2024.
Overview
| NPI | 1063252054 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 28, 2024 |
| Last updated in NPPES | Nov 4, 2025 |
| Certified by provider | Nov 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 12577 | CT |
| Physical Therapist | 225100000X | 0515944A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 70 |
|---|---|
| Services billed | 1,646 across 10 procedure codes |
| Paid by Medicare | $30,742 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Serc Rehabilitation Partners, LLCSedalia, MO · 209 clinicians
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