IndividualActive
Shane Malecha, PT, DPT, MS, CSCS
NPI 1114049111 · Physical Therapist · Beecher, IL
Provider details
- NPI number
- 1114049111
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, MS, CSCS
- Sex
- Male
- Sole proprietor
- No
- License
- 7346 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1514 Somerset Dr
Beecher, IL 60401-3436
Phone: (779) 771-3322
Approximate (ZIP-level) locationGet directions
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Additional practice locations (2)
- 420 N Wolf RdNorthlake, IL 60164-1670Phone: (800) 381-0822Fax: (352) 565-5201
- 17236 Harlem AveTinley Park, IL 60477-6619Phone: (708) 633-8379Fax: (708) 633-8614
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.