Shadduck - Physical Therapy Works Inc
NPI 1114678794ActiveOrganization· Physical Therapist· Los Altos, CA
Physical Therapist in Los Altos, California, registered in NPPES in January 2022. The authorized official on file is Kristin Shadduck, PT, Physical Therapist, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1114678794 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2022 |
| Last updated in NPPES | Jan 14, 2022 |
| Certified by provider | Jan 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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