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

Shane Polatis, PT, DPT

Individual provider Sports Physical Therapist · NPI 1871909630

Shane Polatis, PT, DPT is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2014, 12 years ago. Practices with Vegas Fyzpt-I, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2014
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4794 S Eastern Ave Ste A
Las Vegas, NV 89119-6145
Phone: (702) 818-1770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1386 S Boulder Hwy Ste 100, Henderson, NV 89015-6958 — (702) 818-1717

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2983 (NV)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 2983 (NV)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 2983 (NV)

Record details

NPI number1871909630
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 1, 2014
Last updated in NPPESSeptember 21, 2024
Certification dateSeptember 21, 2024
Mailing address9550 S Eastern Ave Ste 253, Las Vegas, NV 89123-8042

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Vegas Fyzpt-I — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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