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

Individual provider Physical Therapist · NPI 1215452719

Tanya Shadle, PT, DPT is a Physical Therapist in Private Practice in Gold Canyon, Arizona. Qualified in 2017, 9 years ago. Practices with Activerx Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
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

6788 S Kings Ranch Rd Ste 4
Gold Canyon, AZ 85118-2928
Phone: (480) 982-1909
Fax: (480) 982-3002
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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 13166 (AZ)

Record details

NPI number1215452719
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESAugust 7, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Activerx Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gold Canyon