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

Mr. Shane M. Giblin, PTA

Individual provider Physical Therapy Assistant · NPI 1700061678

Mr. Shane M. Giblin, PTA is a Physical Therapy Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

7485 Mission Valley Rd Ste 104 A
San Diego, CA 92108-4422
Phone: (619) 291-8930
Fax: (619) 398-4989
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT6171 (CA)

Record details

NPI number1700061678
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 9, 2008
Last updated in NPPESJanuary 9, 2008

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