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

Edward Shut

Individual provider Physical Therapist · NPI 1982353207

Edward Shut is a Physical Therapist in Private Practice in Encino, California. Qualified in 2021, 5 years ago. Practices with Back2 Health Physical Therapy Inc, a 6-clinician group.

Years since qualifying
5
In the registry since
2022
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Practice location Address checks out

17227 Ventura Blvd
Encino, CA 91316-4007
Phone: (818) 990-9930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1982353207
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address1335 N La Brea Ave Ste 3, Los Angeles, CA 90028-7565

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Back2 Health Physical Therapy Inc — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Encino