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

Grant Shea, PTA

Individual provider Physical Therapy Assistant · NPI 1588523336

Grant Shea, PTA is a Physical Therapy Assistant in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5255 E Maryland St
Decatur, IL 62521-9705
Phone: (217) 864-1264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160009029 (IL)

Record details

NPI number1588523336
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address5255 E Maryland St, Decatur, IL 62521-9705

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