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

Malissa Kei Shadle, DPT

Individual provider Physical Therapist · NPI 1649001033

Malissa Kei Shadle, DPT is a Physical Therapist in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

425 E Colorado St Ste 440
Glendale, CA 91205-1675
Phone: (833) 477-6878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 306540 (CA)

Record details

NPI number1649001033
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 8, 2024
Last updated in NPPESAugust 8, 2024
Certification dateJuly 27, 2024
Mailing address425 E Colorado St Ste 440, Glendale, CA 91205-1675

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