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Active NPI 1831903905 Individual Practitioner Male Practitioner

Shane Vidal

Physical Therapy Assistant • Northridge, CA

Professional Overview & Biography Verified Profile Summary

Shane Vidal is a registered healthcare professional specializing in Physical Therapy Assistant in Northridge, CA. Practice services are available at 11260 WILBUR AVE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11260 Wilbur Ave Ste 101

Northridge, CA 913262450

Telephone 8188325656
Fax 8188385245
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Northridge, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 6.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Northridge, CA (3593 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-06
Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License CA 53866

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Scott Witter

Physical Therapy Assistant

NPI 1023761335
Anne Katz , PT

Physical Therapist

NPI 1215974324

Physical Therapist

Jennifer Lee , MPT

Physical Therapist

NPI 1225312325

Master of Physical Therapy

Dr. Delia Godinez , DPT

Physical Therapist

NPI 1265759138

Doctor of Physical Therapy

NPI 1275016099

Physical Therapist

NPI 1356211577

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2025

Registered at 11260 WILBUR AVE STE 101, NORTHRIDGE, CA 913262450 (Tel: 8188325656)

📍
Updated Business Mailing Address February 06, 2025

Registered at 22003 LIGGETT ST, CHATSWORTH, CA 913115721 (Tel: 8185346199)

👤
Provider Name / Credentials Updated February 06, 2025

Recorded as SHANE VIDAL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2025

Physical Therapy Assistant (License #53866 in CA)

🟢
Initial NPI Registration & Enumeration February 06, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831903905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2025
Last Update: February 06, 2025
Sole Proprietor: Yes

Mailing Address

22003 Liggett St

Chatsworth, CA 913115721

Phone: 8185346199

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.