Shane Famille, PT, ATC
Sports Physical Therapist · Glendora, NJ
Shane Famille, PT, ATC is a sports physical therapist with a practice address in Glendora, New Jersey, and NPI 1689781593, issued on Aug 24, 2006. Check the license (New Jersey 40QA01317800, as entered in NPPES) with the New Jersey board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shane Famille
- Credential
- PT, ATC
- Primary taxonomy
- Sports Physical Therapist 2251S0007X
- License numbers
- 40QA01317800 NJ
25MT00125600 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 17 11TH Ave, Glendora, NJ 08029
- Phone
- (856) 216-0047
- Enumerated
- Aug 24, 2006
- Record last updated
- Feb 1, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (856) 427-9314
- Medicare enrollment
- Enrolled (PECOS I20220603000887); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest sports physical therapist records → All 21 in New Jersey → Look up another NPI →
Verify Shane Famille in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Jersey board licenses this profession
Search for license 40QA01317800Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 88.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- AT Home BY Enhance Therapies LLCHackensack, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shane Famille among 21 sports physical therapist records in New Jersey
Shane Famille, PT, ATC is one of 21 sports physical therapist records with a practice address in New Jersey. 43% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 0% of them.
- NPI issued2006 · 0% of these records are older, 86% newer
- In a Medicare fileYes · 43% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2009 · median 2009 among the 12 with a school on file
- Record last updated2010 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2251S0007X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1 sports physical therapist record lists a practice address in Glendora
They are 1 of the 26 NPPES records with a practice address in Glendora, and 21 sports physical therapist records in New Jersey.
All 21 in New Jersey → Every provider in Glendora → Sports Physical Therapist nationwide →
The 8 sports physical therapist records with the nearest ZIP codes
- Robert Gee, PT, DPT, CPT, CSCSCherry Hill, NJ 080031962248260
- Timothy Greer, MSPTMedford, NJ 080551518064179
- Joshua Sabol, DPTCherry Hill, NJ 080031023443835
- Ryan GibkiMorristown, NJ 079601548106974
- Harold Alaan, DPTBasking Ridge, NJ 079201235431586
- Matthew Shohen, P.T.Sparta, NJ 078711669524146
- Nicholas McKaba, PT, DPTLong Valley, NJ 078531497376297
- Kelly Gorczyca, MS, PTHackettstown, NJ 078401801940481
Common questions
What is Shane Famille, PT, ATC's NPI number?
Shane Famille, PT, ATC's National Provider Identifier (NPI) is 1689781593, issued on Aug 24, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Shane Famille, PT, ATC located?
The NPPES record lists a practice address at 17 11TH Ave, Glendora, NJ, 08029. Phone: (856) 216-0047. Providers update this record themselves, so call before visiting.
How can I verify Shane Famille, PT, ATC's license?
NPPES lists New Jersey license number 40QA01317800, as entered by the provider. Search the New Jersey board that licenses this profession; the NPPES record confirms identity only.
What is Shane Famille, PT, ATC's MIPS final score?
The 2023 MIPS final score is 88.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.