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

Shayan Shawn Lebastchi

Individual provider Orthopedic Physical Therapist · NPI 1265208326

Shayan Shawn Lebastchi is a Physical Therapist in Private Practice in Brooklyn, New York. Graduated from Columbia University College of Physicians and Surgeons in 2022, 4 years ago. Practices with Lakes PT PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

203 Berry St
Brooklyn, NY 11249-3114
Phone: (646) 875-8348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 048903-01 (NY)

Record details

NPI number1265208326
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 29, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2022 (4 years in practice)
Group practice Lakes Pt Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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