| Doctor Name: | SHANE CAPONE |
| NPI Number: | 1275939837 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.T. |
| License Number: | 40QA01587000 |
| Business Practice Address: | 555 Lacey Rd Suite 203 Forked River, NJ - 087311500 |
| Business Phone Number: | 6096935055 |
| Business Fax Number: | 6096930222 |
| Mailing Address: | 1372 Route 9, Building #2 TOMS RIVER |
| State: | NJ |
| Postal Code: | 087554038 |
| Phone Number: | 7322409296 |
| Fax Number: | 7322409297 |
| NPI Enumeration Date: | 11/10/2014 |
| NPI Last Update Date: | 03/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01587000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |