DR. SHANE MALECHA (NPI# 1114049111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114049111 |
| Entity Type | Individual |
| Full Name | DR. SHANE MALECHA |
| Credential | PT, DPT, MS, CSCS |
| Practice Address |
1514 Somerset Dr Beecher IL 60401-3436 |
| Practice Telephone | 7797713322 |
| Mailing Telephone | 7797713322 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 7346 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
070.015555 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PHYSICAL THERAPY LICENSE | 70015555 | 01 |
| MN | PHYSICAL THERAPY LICENSE | 7346 | 01 |
| Street Address |
1514 SOMERSET DR |
| City | BEECHER |
| State | IL |
| Zip Code | 60401-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316148216 | Beecher Community Unit School District 200u | Local Education Agency (LEA) | 538 Miller, Beecher, IL 60401 | 2007-05-29 |
| 1881779049 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1277 Dixie Highway, Beecher, IL 60401 | 2006-10-26 |
| 1609819697 | Beecher Fire Protection District | Ambulance | 711 Penfield Street, Beecher, IL 60401 | 2006-06-14 |
| 1114073681 | Docs Drugs | Pharmacy Technician | 1277 Dixie Highway, Beecher, IL 60401 | 2007-01-26 |
| 1811126428 | Ann Marie Wyatt | Case Manager/Care Coordinator | 2100 E Corning Rd, Beecher, IL 60401-3079 | 2009-07-06 |
| 1962692962 | Reynaldo Pina | Specialist/Technologist, Other | 30752 S Klemme Rd, Beecher, IL 60401-3149 | 2007-07-26 |
| 1801416888 | Taylor Jean Schrage | Nurse Practitioner | 1825 E Offner Rd, Beecher, IL 60401-3237 | 2020-04-20 |
| 1134394935 | Tina Marie Van Wyhe | Developmental Therapist | 27410 S Hickory St, Beecher, IL 60401-3497 | 2008-04-23 |
| 1245844455 | Maureen Fogarty | Student in an Organized Health Care Education/Training Program | 3663 W Church Rd Bldg 2, Beecher, IL 60401-3501 | 2020-09-04 |
| 1922666502 | Leap of Faith Wellness LLC | Counselor | 3663 W Church Rd, Beecher, IL 60401-3501 | 2019-05-30 |
| Find all providers in zip 60401 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310247 | Direct Mobile Pt and Wellness, LLC | Physical Therapist | 0n553 Dorchester Ave, Wheaton, IL 60187-1709 | 2020-09-14 |
| 1285259507 | Sheila Valencia Punzalan | Physical Therapist | 7825 Crawford Ave, Skokie, IL 60076-3609 | 2020-06-11 |
| 1912471913 | Heidi Moyer | Physical Therapist | 665 W North Ave Ste 500, Lombard, IL 60148-1135 | 2019-01-14 |
| 1801362314 | Eric John Grahn | Physical Therapist | 655 White Oak Way, Yorkville, IL 60560-9581 | 2018-10-23 |
| 1588139141 | Marc Brown | Physical Therapist | 930 Monroe St, Galesburg, IL 61401-2538 | 2018-10-10 |
| 1215388244 | Shefali Chandnani | Physical Therapist | 332 Veneto, Bloomingdale, IL 60108-1036 | 2016-06-30 |
| 1154777373 | Tejaswini Savarkar | Physical Therapist | 1412 Frenchmans Bend Dr, Naperville, IL 60564-9714 | 2016-05-06 |
| 1760879969 | Joseph Albert De Mesa Montemayor | Physical Therapist | 3639 N Ottawa Ave, Unit 2, Chicago, IL 60634-3108 | 2015-04-25 |
| 1740686229 | Cynthia Valaitis | Physical Therapist | 17 Ottawa Ct, Oswego, IL 60543-9165 | 2014-11-11 |
| 1538563671 | Jigeeh Mantujac | Physical Therapist | 4559 Imperial Dr, 3e, Richton Park, IL 60471-2437 | 2014-10-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. SHANE MALECHA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.