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

Dr. Ken Shadman OTA, DO

Individual provider Family Medicine Physician · NPI 1750544276

Dr. Ken Shadman OTA, DO is a Family Practice in Scottsdale, Arizona. Qualified in 2008, 18 years ago. Practices with Aligned Medical Providers LLC, a 13-clinician group and works from 2 locations. Licensed in Arizona.

Years since qualifying
18
Licensed in
AZ
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9821 N 95th St Ste 101
Scottsdale, AZ 85258-4589
Phone: (480) 365-8035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7975 N Hayden Rd Ste D354, Scottsdale, AZ 85258-3243 — (480) 268-2670

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5305 (AZ)

Record details

NPI number1750544276
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 3, 2008
Last updated in NPPESNovember 22, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Aligned Medical Providers Llc — 13 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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