Active NPI 1609409358 Individual Practitioner Male Practitioner

Dr. Devan Alexander Shambo , DPT

Physical Therapist - Orthopedic • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Dr. Devan Shambo, DPT is a registered healthcare professional specializing in Physical Therapist - Orthopedic in Ithaca, NY. Practice services are available at 310 TAUGHANNOCK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 Taughannock Blvd

Ithaca, NY 148503251

Telephone 6072773861

Associated Practice Facility / Clinic

🏢 Creative Orthotics & Prosthetics, Inc. Facility NPI 1871683003

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist - Orthopedic in Ithaca, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.5 Yrs

State Avg: 16.8 Yrs

Regional Practice Density

8 Specialists

Practicing in Ithaca, NY (763 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-20

Physical Therapist - Orthopedic Primary Specialty

NUCC Taxonomy Code: 2251X0800X

State License NY 045562

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Jared Bauer , PT, DPT

Physical Therapist - Orthopedic

NPI 1609464528

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 20, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2020

Registered at 310 TAUGHANNOCK BLVD, ITHACA, NY 148503251 (Tel: 6072773861)

📍

Updated Business Mailing Address February 20, 2020

Registered at 101 UPTOWN RD APT 31, ITHACA, NY 148501602 (Tel: 8456334375)

👤

Provider Name / Credentials Updated February 20, 2020

Recorded as DEVAN SHAMBO, DPT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2020

Physical Therapist (License #045562 in NY)

🟢

Initial NPI Registration & Enumeration February 20, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Devan Shambo. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609409358

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 20, 2020

Last Update: February 20, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

101 Uptown Rd Apt 31

Ithaca, NY 148501602

Phone: 8456334375

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.