MEDICARE: SHELBI LYNNE KNAUER HEMMERLE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	43805	FL

General Provider Information

NPI Number	:	1578426151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBI LYNNE KNAUER HEMMERLE PT, DPT

Provider Business Mailing Address
First Line	:	252 WHEELHOUSE LN APT 216
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	252 WHEELHOUSE LN APT 216
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3708
Country	:	US
Telephone Number	:	866-932-1798
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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