Shane Malecha, PT, DPT, MS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.015555 Issued in IL

Practice address

1514 Somerset Dr
Beecher, IL 60401-3436

Phone

(779) 771-3322

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehab Advantage Solutions, PLLC

  dba TMC Therapy at Home

  • Physical Therapist
  • Homosassa, FL
  • NPI 1164908307

  IL

  Medicare reassignment
• Back in Action Rehab, LLP

  • Occupational Therapist
  • Faribault, MN
  • NPI 1699848143
  NPD (past)
• Dr. Robert J. Erickson, P.a.

  • Chiropractor
  • Faribault, MN
  • NPI 1437290186
  NPD (past)
• Intrepid of Golden Valley Inc

  dba Intrepid USA Healthcare Services

  • Home Health Agency
  • Edina, MN
  • NPI 1528040169
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1114049111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8477 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465028",
            "telephone_number": "800-381-0822",
            "fax_number": "352-565-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 SOMERSET DR",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013436",
            "telephone_number": "779-771-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N Wolf Rd",
            "address_purpose": "LOCATION",
            "city": "Northlake",
            "state": "IL",
            "postal_code": "601641670",
            "country_code": "US",
            "telephone_number": "800-381-0822",
            "fax_number": "352-565-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17236 Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604776619",
            "country_code": "US",
            "telephone_number": "708-633-8379",
            "fax_number": "708-633-8614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALECHA",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7346",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.015555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "70015555",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "7346",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slmalech@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1514 Somerset Dr",
            "city": "Beecher",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604013436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jackie Kotecki, DC
• Kristen Kozy
• Leap of Faith Wellness LLC
• LF Walls Corp (Walls Services Facilitation)
• Joyce Maclaren, PSY.D.
• Jamie Marting
• Colleen Mathews, PTA
• Metropolitan Eyecare Beecher
• Metropolitan Eyecare of Beecher Inc
• Mind Over Matter Counseling, LLC

• Physical Therapist in Beecher, IL
• Providers in Beecher, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.