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

Shadrack E Spears, PTA

Individual provider Physical Therapy Assistant · NPI 1366635559

Shadrack E Spears, PTA is a Physical Therapy Assistant in Portage, Michigan. Registered with an NPI since 2007.

In the registry since
2007
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

1423 W Centre Ave
Portage, MI 49024-5351
Phone: (269) 323-4300
Fax: (269) 323-4449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1366635559
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 22, 2007
Last updated in NPPESAugust 22, 2007
Mailing address4126 Lum St, Portage, MI 49002-6526

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