Provider Demographics
NPI:1467841395
Name:JAMES, SHANELLE (PT, DPT, CTRS, CDSS)
Entity Type:Individual
Prefix:DR
First Name:SHANELLE
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:PT, DPT, CTRS, CDSS
Other - Prefix:
Other - First Name:SHANELLE
Other - Middle Name:
Other - Last Name:BOWEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 90083
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20090-0083
Mailing Address - Country:US
Mailing Address - Phone:202-441-0522
Mailing Address - Fax:
Practice Address - Street 1:3927 1ST ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-1402
Practice Address - Country:US
Practice Address - Phone:202-441-0522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-15
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT872049225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist