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

Individual provider Physical Therapist · NPI 1407719032

Shane Marion Kaneshiro, DPT is a Physical Therapist in Private Practice in Walnut Creek, California. Qualified in 2025, 1 year ago. Practices with Pleasanton Physical Therapy Services Inc, a 22-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

301 Lennon Ln Ste 202
Walnut Creek, CA 94598-2433
Phone: (925) 934-6373
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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 309403 (CA)

Record details

NPI number1407719032
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Pleasanton Physical Therapy Services Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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