Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian R Shidemantle, DPT

Individual provider Physical Therapist · NPI 1104250539

Brian R Shidemantle, DPT is a Physical Therapist in Private Practice in Wexford, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Rehabcare Group East, LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
13
Licensed in
PA, VA
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

100 Bradford Rd Ste 210
Wexford, PA 15090
Phone: (724) 940-2323
Fax: (724) 940-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT022955 (PA)
Physical Therapist Taxonomy 225100000X · Licence 2305208250 (VA)

Record details

NPI number1104250539
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 21, 2013
Last updated in NPPESMay 24, 2018
Mailing address100 Bradford Rd, Ste 210, Wexford, PA 15090-8485

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Rehabcare Group East, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wexford