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

Mr. Jack M. Shano, RPT

Individual provider Physical Therapist · NPI 1407879265

Mr. Jack M. Shano, RPT is a Physical Therapist in Private Practice in Woodland Hills, California. Qualified in 1967, 59 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
59
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

23067 Ventura Blvd Ste A
Woodland Hills, CA 91364-1150
Phone: (818) 223-9985
Fax: (818) 223-9986
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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 PT3035 (CA)

Record details

NPI number1407879265
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Woodland Hills