Ian Brooks Shadle, DPT, ATC, CSCS
NPI 1205310968ActiveIndividual· Physical Therapist· Sewickley, PA
Physical Therapist (DPT, ATC, CSCS) in Sewickley, Pennsylvania, licensed in PA, with an NPI issued in September 2018. Medicare paid $51,896 for services to 27 patients in 2024.
Overview
| NPI | 1205310968 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, ATC, CSCS |
| Sole proprietor | No |
| NPI issued | Sep 19, 2018 |
| Last updated in NPPES | Sep 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT027289 | PA |
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 Practitioner - Physical Therapist in Private Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 2,324 across 6 procedure codes |
| Paid by Medicare | $51,896 |
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All 24 physical therapists in Sewickley · All physical therapists in Pennsylvania