Shane Famille, PT, ATC
Athletic Trainer · Glendora, NJ
Shane Famille, PT, ATC is an athletic trainer 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
- Athletic Trainer 2255A2300X
- 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
- Entity
- Type 1 · individual
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 Medicare quality score for 2023: 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).
One hospital or facility affiliation
- AT Home BY Enhance Therapies LLCHackensack, NJ
Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
2 athletic trainer records list a Glendora practice address
They are 2 of the 26 NPPES records with a Glendora practice address, and 1,241 athletic trainer records in New Jersey.
All 2 in Glendora → All 1,241 in New Jersey → Every provider in Glendora →
Other athletic trainer records in New Jersey
- Nancy Abady, ATCTinton Falls, NJ1447395140
- Amy Adair, M.S., ATCCape May Court House, NJ1639356967
- Kayla AdamsWaldwick, NJ1457059479
- Michele Adamski, ATCPiscataway, NJ1396439220
- Rachel AdamskiMagnolia, NJ1801429618
- Mark AgapitoNutley, NJ1770172132
- Nicholas AguileraWest Long Branch, NJ1689050445
- Frank Aiello, ATCNutley, NJ1649710419
- Jaime AjiNutley, NJ1831334747
- Zane AkiyalBeverly, NJ1871399568
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 Medicare quality 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), loaded Aug 27, 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.