MR. IAN BROOKS SHADLE DPT, ATC, CSCS
NPI 1205310968
Physical Therapist in Sewickley, PA

Active since September 19, 2018
2591 WEXFORD BAYNE RD STE 107, SEWICKLEY, PA 15143(724) 934-1988(724) 934-1999 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Ian Brooks Shadle Dpt, Atc, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. IAN BROOKS SHADLE DPT, ATC, CSCS (NPI 1205310968) is an individual physical therapist in Sewickley, Pennsylvania, licensed in Pennsylvania (PT027289) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1205310968
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. IAN BROOKS SHADLECredential: DPT, ATC, CSCS
Location Address2591 WEXFORD BAYNE RD STE 107Sewickley, PA 15143-8676
Mailing Address2591 Wexford Bayne Rd Ste 107Sewickley, PA 15143-8676 · (724) 934-1988 · Fax (724) 934-1999
Fax(724) 934-1999
Sole ProprietorNo
Enumeration DateSeptember 19, 2018
✔ NPI 1205310968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in PA · PT027289
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2591 WEXFORD BAYNE RD STE 107, Sewickley, PA 15143

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ian Brooks Shadle Dpt, Atc, Cscs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Ian Shadle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Sports
2591 WEXFORD BAYNE RD, SUITE 107
Sewickley, PA 15143
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
Physical Therapy
1451 CONCHESTER HWY
Garnet Valley, PA 19060
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
870 services27 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
567 services26 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
497 services24 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
367 services16 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
21 services18 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Shadle's NPI number?

The NPI number for Ian Shadle is 1205310968. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Ian Shadle located?

Ian Shadle practices at 2591 Wexford Bayne Rd Ste 107, Sewickley, PA 15143. The listed phone number is (724) 934-1988.

What is Ian Shadle's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ian Shadle enrolled in Medicare?

Yes. Ian Shadle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ian Shadle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Shadle reassigns Medicare benefits to 2 organizations: (Sewickley, PA) and Precision Performance Physical Therapy (Garnet Valley, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ian Shadle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ian Shadle was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.