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

Individual provider Physical Therapist · NPI 1861597429

Shirley Wachisee, DPT is a Physical Therapist in Private Practice in Diamond Bar, California. Qualified in 2000, 26 years ago. Practices with Pomona Valley Orthopedic and Sports Physical Therapy Inc, a 15-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
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

21015 Pathfinder Rd Ste 100
Diamond Bar, CA 91765-3950
Phone: (909) 861-3511
Fax: (909) 860-7900
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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 PT25465 (CA)

Record details

NPI number1861597429
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESMarch 7, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Pomona Valley Orthopedic And Sports Physical Therapy Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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