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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1578501052

Vladislav Shut, DPT is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2003, 23 years ago. Practices with Back2 Health Physical Therapy Inc, a 6-clinician group. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2006
Specialties on file
2
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

1335 N La Brea Ave
Los Angeles, CA 90028-7526
Phone: (310) 246-1050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence PT32430 (CA)

Record details

NPI number1578501052
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 4, 2006
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Back2 Health Physical Therapy Inc — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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