Healthcare Provider Details

I. General information

NPI: 1750978052
Provider Name (Legal Business Name): ALEXIS CATHERINE SHIPPEE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2020
Last Update Date: 08/15/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32787 US ROUTE 11
PHILADELPHIA NY
13673
US

IV. Provider business mailing address

1001 WEST ST
CARTHAGE NY
13619-9703
US

V. Phone/Fax

Practice location:
  • Phone: 315-642-0216
  • Fax:
Mailing address:
  • Phone: 315-519-5724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number046807
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: