CHAD DONALD SHAFER (PT) – Orthopedic Physical Therapist, NPI 1255700688

CHAD DONALD SHAFER (PT) is a healthcare provider. based in Grand blanc, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501017424 (MI). The NPI Number for CHAD DONALD SHAFER (PT) is 1255700688

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
CHAD DONALD SHAFER (PT)
NPI
1255700688
Phone
(269) 326-0607
Address
1346 WINDING RIDGE DR
Enumeration Date
16 September 2015
Last Update Date
16 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6465988338
Graduation Year
2015 (11 years ago)
PAC ID
0840597290
Group Practice PAC ID
0446605422
Professional Enrollment ID
I20160330000192
Address ID
MI480732138RO3412XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for CHAD DONALD SHAFER (PT)

  • 1346 WINDING RIDGE DR

    3A

    GRAND BLANC, MI 484397567

    Phone: (269) 326-0607

    Type: Mailing

  • 1787 W BIG BEAVER RD

    SUITE #250

    TROY, MI 480843548

    Phone: (248) 649-4193

    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: 2016-03-30

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
I20160330000192IPhysical Therapist In Private PracticeMITBD

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 48439)

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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: 0446605422View full group profile
NameSpecialtyState
Clinical PsychologistCT
Clinical Social WorkerMI
Physical Therapist In Private PracticeMI
Clinical PsychologistNJ
Physical Medicine And RehabilitationOH
Clinical Social WorkerNY
Clinical PsychologistFL
Nurse PractitionerMI
Nurse PractitionerMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for CHAD DONALD SHAFER (PT)?
CHAD DONALD SHAFER (PT) — NPI 1255700688 — is the standard way to identify this listing.
Can I rely on CHAD DONALD SHAFER (PT) being an active provider?
As of the registry snapshot, CHAD DONALD SHAFER (PT) is marked active.
What taxonomy line describes CHAD DONALD SHAFER (PT)?
For research purposes, treat CHAD DONALD SHAFER (PT) as Orthopedic Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does CHAD DONALD SHAFER (PT) list a practice location?
Patients near Grand Blanc, Michigan may find CHAD DONALD SHAFER (PT) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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