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Mr. Shane Michael Disheaux, COTA

Occupational Therapy Assistant in Fort Wayne, IN · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508063645

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Registry record

Entity type Individual (Type 1)
Name Mr. Shane Michael Disheaux
Credential COTA
Sex Male
Practice address 2827 Northgate Blvd, Fort Wayne, IN, 46835
Phone (260) 492-1498
Fax (260) 492-1674
Enumeration date Jul 2, 2007
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 32001345A (IN) Primary

Other identifiers

Identifier Type State Issuer
1555-656 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Shane Disheaux practice?
The practice location on file with NPPES is in Fort Wayne, IN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Shane Disheaux?
The National Provider Identifier (NPI) for Shane Disheaux is 1508063645, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.