DAVID SHANE WICKENDEN P.T. NPI 1245258805

NPI Information

NPI: 1245258805
Provider Name: DAVID SHANE WICKENDEN, P.T.
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
22 E 41ST ST
3RD FLOOR
NEW YORK, NY
ZIP 10017
Phone: (212) 686-1112
Get Directions

David Shane Wickenden, P.T. is an orthopedic physical therapist in New York, NY. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. David Shane Wickenden, P.T. NPI is 1245258805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22 E 41ST ST
3RD FLOOR
NEW YORK, NY
ZIP 10017-201
Phone: (212) 686-1112
Fax: (212) 686-1717

The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251X0800X	Physical Therapist	Orthopedic	014106	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q35K21	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE PROVIDER NUMBER
2	ZA1122	OTHER	NEW YORK	HEALTHNET PROVIDER ID
3	827482	OTHER	NEW YORK	OXFORD ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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