Shane Bostelman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018015 Issued in OH

Practice address

3100 Olympus Blvd. Suite 500
Dallas, TX 75019

Phone

(419) 966-7464

NPI assigned

May 21, 2024

Last updated

Mar 3, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA, AZ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

360 Physical Therapy LLCGroup PAC ID 1355237645, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 360 Physical Therapy, LLC

  • Specialist
  • Scottsdale, AZ
  • NPI 1932430949
  Medicare reassignment Care Compare group NPD
• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy

  • Physical Therapy Clinic/Center
  • Buckeye, AZ
  • NPI 1467129684
  Medicare reassignment Care Compare group
• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• 360 Physical Therapy LLC

  dba 360 Physical Therapy

  • Physical Therapist
  • Queen Creek, AZ
  • NPI 1689115164
  NPD
• 360 Physical Therapy, LLC

  dba 360 Physical Therapy

  • Physical Therapist
  • Maricopa, AZ
  • NPI 1154728350
  NPD
• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1093681033
  NPD
• Multicare Health System

  dba Covington MultiCare Clinic

  • Family Medicine Physician
  • Covington, WA
  • NPI 1093768657

  Physical Therapist

  NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  dba Auburn MultiCare Clinic

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1013969195

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1508605478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H059 STATE ROUTE 65",
            "city": "DESHLER",
            "state": "OH",
            "postal_code": "435169725",
            "telephone_number": "419-966-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OLYMPUS BLVD. SUITE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "419-966-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTELMAN",
        "first_name": "SHANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP046441T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Parker Bosley
• Nana Awa Bosomtwe, MD
• Piper Boss
• Rebecca Elizabeth Boss, PA-C
• Deina Renee Bossa, MD
• Ella Kate Boster
• Ron Bostic, PHARMACIST
• Boston Medical Group - Texas, P.a.
• Courtney Lyn Bostrom, MD
• Boswell Orthopaedic Clinic

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.