Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MS. Shannine Banawa Consolacion

Individual provider Physical Therapist · NPI 1063252054

MS. Shannine Banawa Consolacion is registered under Physical Therapist in Private Practice in Sunrise, Florida. Qualified in 2021, 5 years ago. Practices with Serc Rebabilitation Partners, LLC, a 211-clinician group and accepts Medicare assignment. Licensed in Connecticut and Indiana.

Years since qualifying
5
Licensed in
CT, IN
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1580 Sawgrass Corporate Pkwy
Sunrise, FL 33323-2869
Phone: (943) 216-2228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12577 (CT)
Physical Therapist Taxonomy 225100000X · Licence 0515944A (IN)

Record details

NPI number1063252054
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Serc Rebabilitation Partners, Llc — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients70
Services billed 1,646 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Serc Rebabilitation Partners, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 211 clinicians in the practice; 12 are shown here.

Other providers in Sunrise