Provider Demographics
NPI:1841815180
Name:BANDY DE ESPINOZA, SHELBY (PT)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:BANDY DE ESPINOZA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:
Other - Last Name:BANDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:2525 CITYWEST BLVD APT 447
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3168
Mailing Address - Country:US
Mailing Address - Phone:512-214-7110
Mailing Address - Fax:
Practice Address - Street 1:8000 CRANBERRY SPRINGS DR
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6687
Practice Address - Country:US
Practice Address - Phone:855-937-7678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1407197225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist