Physical Therapist
Mr. SHAWN BLACK M.S., P.T.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1679603575 · enumerated 2007-03-07 · record updated 2025-05-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 701 US HIGHWAY 31 S, TRAVERSE CITY, MI, 49685-8016 (800) 406-5143 Fax (231) 995-9302 Google Maps Apple Maps OpenStreetMap
- Mailing address 1189 GONDER RD, INTERLOCHEN, MI, 49643-9705 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Medicine & Rehabilitation 208100000X · License 5501011285 MI
- Physical Therapist 225100000X · Primary · License 5501011285 MI
In this directory
Locations and evidence
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Practice location
TRAVERSE CITY, MI, 496858016
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.