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

Mr. Ian Brooks Shadle, DPT, ATC, CSCS

Individual provider Physical Therapist · NPI 1205310968

Mr. Ian Brooks Shadle, DPT, ATC, CSCS is a Physical Therapist in Private Practice in Sewickley, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Precision Performance Physical Therapy, a 7-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2591 Wexford Bayne Rd Ste 107
Sewickley, PA 15143-8676
Phone: (724) 934-1988
Fax: (724) 934-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT027289 (PA)

Record details

NPI number1205310968
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , ATC , CSCS
Sole proprietorNo
NPI enumeratedSeptember 19, 2018
Last updated in NPPESSeptember 19, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Precision Performance Physical Therapy — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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