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

Zachary Shine, PTA

Individual provider Physical Therapy Assistant · NPI 1639643372

Zachary Shine, PTA is a Physical Therapy Assistant in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

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

19395 W Capitol Dr Ste 200
Brookfield, WI 53045-2736
Phone: (262) 923-7101
Fax: (262) 923-7178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2764 (WI)

Record details

NPI number1639643372
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 16, 2019
Last updated in NPPESJanuary 16, 2019

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