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MR. SHANE FAMILLE PT, ATC
NPI 1689781593
Physical Therapist - Sports in Glendora, NJ

Active since August 24, 2006Accepts Medicare Assignment
88.23/100
CMS Quality Rating
17 11TH AVE, GLENDORA, NJ 08029(856) 216-0047(856) 427-9314 Get Directions Write a Review

NPPES record last updated: February 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shane Famille Pt, Atc NPPES

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

MR. SHANE FAMILLE PT, ATC (NPI 1689781593) is an individual sports provider in Glendora, New Jersey, licensed in New Jersey (40QA01317800) and active in the NPI registry since August 2006. He is a graduate of Other (2009).

NPPES Registry Identity

NPI1689781593
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameMR. SHANE FAMILLECredential: PT, ATC
Location Address17 11TH AVEGlendora, NJ 08029-1333
Mailing Address17 11th AveGlendora, NJ 08029-1333 · (856) 216-0047 · Fax (856) 427-9314
Phone(856) 216-0047
Fax(856) 427-9314
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 24, 2006
Last NPPES UpdateFebruary 1, 2010
✔ NPI 1689781593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in NJ · 40QA01317800
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 25MT00125600 (NJ)
17 11TH AVE, Glendora, NJ 08029
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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

Mr. Shane Famille Pt, Atc 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 ID8426436437
PECOS Enrollment IDI20220603000887

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,528 services60 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,051 services62 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
379 services44 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
218 services33 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
36 services32 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.57
Promoting Interoperability99
Improvement Activities40
Cost91.05

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 Shane Famille's NPI number?

The NPI number for Shane Famille is 1689781593. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Shane Famille located?

Shane Famille practices at 17 11th Ave, Glendora, NJ 08029. The listed phone number is (856) 216-0047.

What is Shane Famille's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Shane Famille enrolled in Medicare?

Yes. Shane Famille 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 Shane Famille was last updated on February 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.