BRIAN R SHIDEMANTLE DPT
NPI 1104250539
Physical Therapist in Wexford, PA

Active since August 21, 2013Accepts Medicare Assignment
100 BRADFORD RD, STE 210, WEXFORD, PA 15090(724) 940-2323(724) 940-2340 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2018, Feb 15, 2017 (2 updates tracked since 2017).

About Brian R Shidemantle Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN R SHIDEMANTLE DPT (NPI 1104250539) is an individual physical therapist in Wexford, Pennsylvania, licensed in Pennsylvania (PT022955) and active in the NPI registry since August 2013. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1104250539
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRIAN R SHIDEMANTLECredential: DPT
Location Address100 BRADFORD RD, STE 210Wexford, PA 15090
Mailing Address100 Bradford Rd, Ste 210Wexford, PA 15090-8485 · (724) 602-0747 · Fax (724) 604-8022
Fax(724) 940-2340
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 21, 2013
Last NPPES UpdateMay 24, 20182 updates tracked since enumeration
NPI 1104250539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in PA · PT022955 Licensed in VA · 2305208250
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
100 BRADFORD RD, Wexford, PA 15090

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brian R Shidemantle Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143454900
PECOS Enrollment IDI20180606001807

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
100 BRADFORD RD, SUITE 210
WEXFORD, PA 15090
Physical Therapist
100 BRADFORD RD, SUITE 210
WEXFORD, PA 15090
Allergy & Immunology (Allergy)
100 BRADFORD RD, STE 410
WEXFORD, PA 15090
Occupational Therapist
100 BRADFORD RD, SUITE 210
WEXFORD, PA 15090
Physical Therapist
100 BRADFORD RD, SUITE 131
WEXFORD, PA 15090
Psychologist
100 BRADFORD RD, SUITE 200
WEXFORD, PA 15090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Shidemantle's NPI number?

The NPI number for Brian Shidemantle is 1104250539. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Where is Brian Shidemantle located?

Brian Shidemantle practices at 100 Bradford Rd Ste 210, Wexford, PA 15090. The listed phone number is (724) 940-2323.

What is Brian Shidemantle's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Brian Shidemantle enrolled in Medicare?

Yes. Brian Shidemantle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brian Shidemantle was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.