Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Philip Shafer

Individual provider Physical Therapy Assistant · NPI 1083205777

Jonathan Philip Shafer is a Physical Therapy Assistant in Newburgh, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

17 N Plank Rd Ste 10
Newburgh, NY 12550-2111
Phone: (845) 800-9305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 010372-1 (NY)

Record details

NPI number1083205777
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 27, 2021
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021

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