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

Shaderre Lassiter

Individual provider Orthopedic Physical Therapist · NPI 1508737073

Shaderre Lassiter is an Orthopedic Physical Therapist in Wilkes Barre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025

Practice location Address checks out

182 Butler St
Wilkes Barre, PA 18702-4465
Phone: (888) 510-2095
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 61133 (PA)

Record details

NPI number1508737073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

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