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

Lane Marty Shockman, PTA

Individual provider Physical Therapy Assistant · NPI 1487100376

Lane Marty Shockman, PTA is a Physical Therapy Assistant in Hermiston, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
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

600 NW 11th St Ste E31
Hermiston, OR 97838-8605
Phone: (541) 667-3657
Fax: (541) 667-3659
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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 09190 (OR)

Record details

NPI number1487100376
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESAugust 30, 2016

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