Active NPI
Vladislav Shut, D.P.T.
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1335 N la Brea Ave
Los Angeles, CA 90028-7526 - Phone
- (310) 246-1050
- NPI assigned
- Jun 4, 2006
- Last updated
- Nov 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT32430 | CA | |
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1335 N la Brea Ave
Los Angeles, CA 90028-7526
Mailing address
1335 N la Brea Ave Ste 3
Los Angeles, CA 90028-7565
Phone (310) 246-1050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205559183 | Other | CA | TAX ID |
| PT32430 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
930 W Alameda Ave
Burbank, CA 91506-2802
Phone (818) 588-3880
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back2 Health Physical Therapy Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Strength Training Inc | Past | Accepting new patients | |
| Strength Training Inc | Physical Therapist | Past | Accepting new patients |
| Corpus Art Physical Therapy Professional Corp | Physical Therapist | Past | Accepting new patients |
Locations
930 W Alameda Ave
Burbank, CA 91506
Phone (818) 588-3880
1335 N La Brea Ave
Ste 3
Los Angeles, CA 90028
Phone (213) 297-4395
9201 W Sunset Blvd
Ste M120
West Hollywood, CA 90069
Phone (310) 246-1050
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
- NPI 1053419408
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1619923059
Physical Therapist
-
dba STI Therapy Division
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1578501052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 N LA BREA AVE STE 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287565",
"telephone_number": "310-246-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 N LA BREA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287526",
"telephone_number": "310-246-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUT",
"first_name": "VLADISLAV",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "PT32430",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "205559183",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT32430",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Caitlin Shureb, PA-C
- Brett David Shurman, M.D.
- Jodie Shurtleff
- Yakov Shusterman, LICENCED THERAPIST
- John Wilson Shustitzky, PH.D.
- Shutes & Lee, Inc (Shutes & Lee Adult Group Home # 1)
- Shutes & Lee, Inc (Shutes & Lee Adult Group Home # 2)
- Lital Shvarts
- Steve Shvartsblat, MD MPH
- Mark Harris Shwayder, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.