Shadi Haddad, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT298088 Issued in CA

Practice address

24051 Newhall Ranch Rd
Valencia, CA 91355-5702

Phone

(661) 254-6364

NPI assigned

Feb 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regents of the University of CaliforniaGroup PAC ID 0547490534, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Regents of the University of California

  dba UCLA Integrated Provider Network

  • Podiatrist
  • Los Angeles, CA
  • NPI 1750723540

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  dba UCLA Integrated Provider Network

  • Durable Medical Equipment & Medical Supplies
  • Valencia, CA
  • NPI 1285507103
  NPD
• Regents of the University of California

  dba UCLA Ipn Scoi

  • Orthopaedic Surgery Physician
  • Van Nuys, CA
  • NPI 1336615988

  Single Specialty

  NPD
• UCLA Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1043427248
  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1144852963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24051 NEWHALL RANCH RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555702",
            "telephone_number": "661-254-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Olive Ave Ste 325",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915013338",
            "country_code": "US",
            "telephone_number": "818-955-5786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "SHADI",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298088",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michell Elizabeth Guzman
• Gustavo Guzzetti
• Grigor Gyuldemirian, MT
• Maria Habib, OD
• Haddad Physical Therapy, Inc.
• Anna Mercedes Hadlock
• Hagar & Richter (Hand Mechanix)
• Stephen Haig
• Cara Hailey
• Felicia Hain

• Physical Therapist in Valencia, CA
• Providers in Valencia, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.