Vladislav Shut, DPT is a medicare enrolled "Physical Therapist" physician in Los Angeles, California. He graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Back2 Health Physical Therapy Inc and his current practice location is
1335 N La Brea Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(310) 246-1050.
Vladislav Shut is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1578501052.
Physician's Profile
| Full Name | Vladislav Shut |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 23 Years |
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| Location | 1335 N La Brea Ave, Los Angeles, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Vladislav Shut graduated from medical school in 2003
NPI Data:
- NPI Number: 1578501052
- Provider Enumeration Date: 06/04/2006
- Last Update Date: 11/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860394236
- Enrollment ID: I20060605000266
Medical Identifiers
Medical identifiers for Vladislav Shut such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578501052 | NPI | - | NPPES |
| 205559183 | Other | CA | TAX ID |
| PT32430 | Other | CA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PT32430 (California) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Back2 Health Physical Therapy Inc | 8527068246 | 6 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Vladislav Shut allows following entities to bill medicare on his behalf.
| Entity Name | Back2 Health Physical Therapy Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1053419408
PECOS PAC ID: 8527068246
Enrollment ID: O20070103000306 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vladislav Shut is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Vladislav Shut, DPT
1335 N La Brea Ave Ste 3,
Los Angeles, CA 90028-7565
Ph: (310) 246-1050 | Vladislav Shut, DPT
1335 N La Brea Ave,
Los Angeles, CA 90028-7526
Ph: (310) 246-1050 |
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