NICOLE SHAK
NPI 1891667952
Physical Therapist - Orthopedic in Union City, CA

Active since September 18, 2025
3555 WHIPPLE RD, UNION CITY, CA 94587(510) 675-4010 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Shak NPPES

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

NICOLE SHAK (NPI 1891667952) is an individual orthopedic provider in Union City, California, licensed in California (308811) and active in the NPI registry since September 2025. She is a graduate of University Of California, San Francisco School Of Medicine (2025).

NPPES Registry Identity

NPI1891667952
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameNICOLE SHAK
Location Address3555 WHIPPLE RDUnion City, CA 94587-1507
Mailing Address936 Cape George PlSan Jose, CA 95133-1134 · (408) 476-0024
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2025
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
NPI 1891667952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in CA · 308811
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
3555 WHIPPLE RD, Union City, CA 94587

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Shak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991297699
PECOS Enrollment IDI20251120002009

Other Providers at the Same Location NPPES 20

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

Physical Therapist
3555 WHIPPLE RD
UNION CITY, CA 94587
Marriage & Family Therapist
3555 WHIPPLE RD
UNION CITY, CA 94587
Pharmacy (Community/Retail Pharmacy)
3555 WHIPPLE RD
UNION CITY, CA 94587
Counselor (Addiction (Substance Use Disorder))
3555 WHIPPLE RD
UNION CITY, CA 94587
Pharmacist
3555 WHIPPLE RD
UNION CITY, CA 94587
Psychiatry & Neurology (Psychiatry)
3555 WHIPPLE RD
UNION CITY, CA 94587
Psychologist (Clinical)
3555 WHIPPLE RD, BUILDING C
UNION CITY, CA 94587
Physical Therapist
3555 WHIPPLE RD
UNION CITY, CA 94587

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 Nicole Shak's NPI number?

The NPI number for Nicole Shak is 1891667952. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Nicole Shak located?

Nicole Shak practices at 3555 Whipple Rd, Union City, CA 94587. The listed phone number is (510) 675-4010.

What is Nicole Shak's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Nicole Shak enrolled in Medicare?

Yes. Nicole Shak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Shak was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.