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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: October 25, 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
Phone(510) 675-4010
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
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Medicare Participation & PECOS CMS

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

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

Medicare Billing Reassignment

Medicare enrollment records show Nicole Shak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
11 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

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

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.

KETKI P MARATHE
Physical Therapist
3555 WHIPPLE RD
UNION CITY, CA 94587
Alameda County (510) 675-4010
ALEJANDRA ANDRADE
Marriage & Family Therapist
3555 WHIPPLE RD
UNION CITY, CA 94587
Alameda County (650) 834-1393
KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
3555 WHIPPLE RD
UNION CITY, CA 94587
Alameda County (510) 675-3302
MS. ROSE GUGGENHEIM MFT
Counselor (Addiction (Substance Use Disorder))
3555 WHIPPLE RD
UNION CITY, CA 94587
Alameda County (510) 675-4541
JIANGYAN DU PHARMD
Pharmacist
3555 WHIPPLE RD
UNION CITY, CA 94587
Alameda County (510) 675-3080
MICHAEL DAVID SANDS M.D.
Psychiatry & Neurology (Psychiatry)
3555 WHIPPLE RD
UNION CITY, CA 94587
Alameda County (510) 454-1000
DR. DAVID JESSE KERNER PSY.D.
Psychologist (Clinical)
3555 WHIPPLE RD, BUILDING C
UNION CITY, CA 94587
Alameda County (510) 675-3080
LINDA LOUISE JOOST PT
Physical Therapist
3555 WHIPPLE RD
UNION CITY, CA 94587
Alameda County (510) 675-4289

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.

Which organization bills Medicare for Nicole Shak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Shak reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The 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 Nicole Shak'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 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 13 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.