Individual provider · Type 1 NPI

Shannine Banawa Consolacion

Physical Therapist · Sunrise, FL

NPI number 1063252054 Active

Practice location

1580 Sawgrass Corporate Pkwy
Sunrise, FL 33323-2869

Mailing address

1580 Sawgrass Corporate Pkwy Ste 320
Sunrise, FL 33323-2859

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X12577 (CT)
Physical Therapist 225100000X0515944A (IN)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1063252054

Shannine Banawa Consolacion's National Provider Identifier is 1063252054, issued on May 28, 2024. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Sunrise, FL. The record was last updated on Nov 4, 2025.