Shane R. Burgess, PT, DPT
NPI 1891209706ActiveIndividual· Physical Therapist· Fort Carson, CO
Physical Therapist (PT, DPT) in Fort Carson, Colorado, licensed in CO and CA, with an NPI issued in November 2017.
Overview
| NPI | 1891209706 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Nov 30, 2017 |
| Last updated in NPPES | Jun 11, 2025 |
| Certified by provider | Jun 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PTL.0017979 | CO |
| Physical Therapist | 225100000X | PT293973 | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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