Doctor profile · Federal record

Dr. Shane Davis, P.T.

Physical Therapist (CMS: Physical Therapist in Private Practice) · Boonville, NY

  • NPI 1033170725
  • Accepts Medicare
  • 29 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
13040 State Route 12
Boonville, NY 133094942
(315) 358-4028
fax (315) 358-4394

Credentials & registration

NPPES · NUCC
NPI registered
March 2006 — 20 yrs on file
Profile last updated
June 27, 2025
Year of graduation
1997 — 29 yrs since
Specialty taxonomy
225100000X — NUCC code
State license (1)
New York #022935

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1033170725. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
4,885
Distinct HCPCS
4
Medicare allowed
$123,654
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 2,968 92 $22
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 1,412 77 $29
97140 Therapy procedure using manual technique, each 15 minutes 426 39 $20
97161 Evaluation for physical therapy, typically 20 minutes 79 75 $97

In context: peer comparison

Among 1 peers in this city , average services per provider: 1,221. This provider delivers 4.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Shane Davis's medical specialty?
Dr. Shane Davis practices Physical Therapist in Boonville, NY.
Where does Dr. Shane Davis practice?
Dr. Shane Davis practices at 13040 State Route 12, Boonville, NY 133094942. Office phone: 3153584028.
What is Dr. Shane Davis's NPI?
Dr. Shane Davis's National Provider Identifier (NPI) is 1033170725, issued by NPPES.
Does Dr. Shane Davis accept Medicare assignment?
Yes. Dr. Shane Davis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Davis commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.