Ian Shultis, PT, ATC
NPI 1841689049ActiveIndividual· Physical Therapist· Millbrook, NY
Physical Therapist (PT, ATC) in Millbrook, New York, licensed in NY, with an NPI issued in January 2015. Medicare paid $3,020 for services to 12 patients in 2024.
Overview
| NPI | 1841689049 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, ATC |
| Sole proprietor | No |
| NPI issued | Jan 12, 2015 |
| Last updated in NPPES | Sep 17, 2024 |
| Certified by provider | Sep 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 048547 | NY |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 002788 | NY |
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 | — |
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Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 126 across 6 procedure codes |
| Paid by Medicare | $3,020 |
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All 25 physical therapists in Millbrook · All physical therapists in New York