SHAWN STANLEY (PT) – Physical Therapist, NPI 1316427198

SHAWN STANLEY (PT) is a healthcare provider. based in Macedonia, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070012972 (IL). The NPI Number for SHAWN STANLEY (PT) is 1316427198

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN STANLEY (PT)
NPI
1316427198
Phone
(618) 308-2482
Address
2331 COUNTY ROAD 900 N
Enumeration Date
21 August 2018
Last Update Date
21 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7329943200
Graduation Year
2021 (5 years ago)
PAC ID
4385187392
Group Practice PAC ID
4183033210
Professional Enrollment ID
I20240619000257
Address ID
IL628646224MO5XXXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for SHAWN STANLEY (PT)

  • 2331 COUNTY ROAD 900 N

    MACEDONIA, IL 628604061

    Phone: (618) 308-2482

    Type: Mailing

  • 216, College Boulevard, Milan, Carmi, White County, Illinois, 62821, United States

    CARMI, IL 628211548

    Phone: (618) 382-4644

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240619000257IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62860)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183033210View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Qualified Speech Language PathologistNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNY
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNY
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

Can I verify SHAWN STANLEY (PT) with an NPI only?
You can start verification with NPI 1316427198 for SHAWN STANLEY (PT), then check state licensing separately.
Is SHAWN STANLEY (PT) listed as active for patients and plans?
The listing shows SHAWN STANLEY (PT) as active in the NPI system.
What is SHAWN STANLEY (PT) best known for clinically?
Directory data describes SHAWN STANLEY (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does SHAWN STANLEY (PT) list a practice location?
Patients near Macedonia, Illinois may find SHAWN STANLEY (PT) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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