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

Shane Slaasted, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1679111793

Shane Slaasted, PTA is a Physical Medicine & Rehabilitation Physician in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019
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

10101 W Wisconsin Ave
Milwaukee, WI 53226-4861
Phone: (414) 259-6310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2954-19 (WI)

Record details

NPI number1679111793
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 19, 2019
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019
Mailing address10101 W Wisconsin Ave, Milwaukee, Wi 53226, Milwaukee, WI 53226

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