SHANE MARION KANESHIRO DPT
NPI 1407719032
Physical Therapist in Walnut Creek, CA

Active since December 09, 2025Accepts Medicare Assignment
301 LENNON LN STE 202, WALNUT CREEK, CA 94598(925) 934-6373 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Marion Kaneshiro Dpt NPPES

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

SHANE MARION KANESHIRO DPT (NPI 1407719032) is an individual physical therapist in Walnut Creek, California, licensed in California (309403) and active in the NPI registry since December 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1407719032
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSHANE MARION KANESHIROCredential: DPT
Location Address301 LENNON LN STE 202Walnut Creek, CA 94598-2433
Mailing Address2214 Pinehurst CtEl Cerrito, CA 94530-1880
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
NPI 1407719032 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 CA · 309403
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.
301 LENNON LN STE 202, Walnut Creek, CA 94598

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shane Marion Kaneshiro Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072090208
PECOS Enrollment IDI20260120001578

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
301 LENNON LN STE 202
WALNUT CREEK, CA 94598
Physical Therapist
301 LENNON LN STE 202
WALNUT CREEK, CA 94598
Physical Therapist
301 LENNON LN STE 202
WALNUT CREEK, CA 94598
Physical Therapist
301 LENNON LN STE 202
WALNUT CREEK, CA 94598
Physical Therapist
301 LENNON LN STE 202
WALNUT CREEK, CA 94598
Physical Therapist
301 LENNON LN STE 202
WALNUT CREEK, CA 94598
Physical Therapist
301 LENNON LN STE 202
WALNUT CREEK, CA 94598
Physical Therapist
301 LENNON LN STE 202
WALNUT CREEK, CA 94598

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 Shane Kaneshiro's NPI number?

The NPI number for Shane Kaneshiro is 1407719032. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Shane Kaneshiro located?

Shane Kaneshiro practices at 301 Lennon Ln Ste 202, Walnut Creek, CA 94598. The listed phone number is (925) 934-6373.

What is Shane Kaneshiro's specialty?

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

Is Shane Kaneshiro enrolled in Medicare?

Yes. Shane Kaneshiro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shane Kaneshiro was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.