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

Shad Mortensen, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568217644

Shad Mortensen, DO is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Works from 4 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (435) 695-4017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3100 N Central Ave, Phoenix, AZ 85012-2637 — (435) 695-4017
  • 2800 E Ajo Way, Tucson, AZ 85713-6204 — (520) 874-2000
  • 1625 N Campbell Ave, Tucson, AZ 85719-4330 — (520) 694-0111

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1568217644
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 22, 2024
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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