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Shut On Wan, PT, DPT

NPI 1184263550ActiveIndividual· Physical Therapist· Rowland Heights, CA

Physical Therapist (PT, DPT) in Rowland Heights, California, licensed in CA and OH, with an NPI issued in January 2020. Enrolled in Medicare as practitioner - physical therapist in private practice.

Overview

NPI1184263550
StatusActive
Entity typeIndividual
CredentialPT, DPT
Sole proprietorNo
NPI issuedJan 2, 2020
Last updated in NPPESJan 7, 2026
Certified by providerJan 7, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT297970CA
Physical Therapist225100000XPT018413OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (CA)

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyPhysical Therapist In Private Practice

Source: CMS Care Compare

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