Doctor profile · Federal record
Dr. Shawn Hackley, P.T.
Physical Therapist · Fort Bragg, CA
- NPI 1295923233
- MIPS 0.0 / 100 · 2023
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
501 Cypress St
Fort Bragg, CA 954375429
(707) 961-6191
fax (707) 964-6213 - Additional location
-
18661 Old Coast Hwy
Fort Bragg, CA 954378260 - Mailing address
-
31740 Cedar St
Fort Bragg, CA 954373922
Credentials & registration
- NPI registered
- October 2007 — 19 yrs on file
- Profile last updated
- December 28, 2018
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- California #PT14615
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295923233. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
8,087
Distinct HCPCS
5
Medicare allowed
$239,835
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 2,910 | 325 | $24 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2,590 | 325 | $21 | |
97530 |
Therapy procedure using functional activities | 2,263 | 314 | $35 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 309 | 274 | $105 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 15 | 15 | $105 |
In context: peer comparison
Among 2 peers in Fort Bragg Physical Therapist, average services per provider: 898. This provider delivers 9.0× the peer median.Frequently asked questions
What is Dr. Shawn Hackley's medical specialty?
Dr. Shawn Hackley practices Physical Therapist in Fort Bragg, CA.
Where does Dr. Shawn Hackley practice?
Dr. Shawn Hackley practices at 501 Cypress St, Fort Bragg, CA 954375429. Office phone: 7079616191.
What is Dr. Shawn Hackley's NPI?
Dr. Shawn Hackley's National Provider Identifier (NPI) is 1295923233, issued by NPPES.
What procedures does Dr. Shawn Hackley commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.