Shane J. Bronson, PT
NPI 1396702981ActiveIndividual· Physical Therapist· Centre Hall, PA
Physical Therapist (PT) in Centre Hall, Pennsylvania, licensed in PA, with an NPI issued in April 2006. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1396702981 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Apr 27, 2006 |
| Last updated in NPPES | Apr 26, 2024 |
| Certified by provider | Apr 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT016294 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (PA) |
|---|
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