Individual ProviderShana AnthonyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2500 Nesconset Hwy, Stony Brook, NY 11790-2555(631) 751-7988PECOS EnrollmentBased on the most recent information from CMS, provider Shana Anthony does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1841606605Provider TypeIndividualFull NameAnthony, ShanaCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date7/1/2014Last Updated7/1/2014Contact InformationPractice LocationPractice Address2500 Nesconset Hwy, Stony Brook, NY 11790-2555Phone(631) 751-7988Fax(631) 751-7989Mailing LocationMailing Address2500 Nesconset Hwy, Stony Brook, NY 11790-2555Phone(631) 751-7988Fax(631) 751-7989Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense037267New York