DR. SHANE PATTERSON – Physical Therapist, NPI 1730993403

DR. SHANE PATTERSON is a healthcare provider. based in Auburn hills, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 5501303713 (MI). The NPI Number for DR. SHANE PATTERSON is 1730993403

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANE PATTERSON
NPI
1730993403
Phone
(248) 340-1100
Address
2558 N SQUIRREL RD
Enumeration Date
4 February 2025
Last Update Date
25 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483401100
Graduation Year
2024 (2 years ago)
PAC ID
6800310418
Group Practice PAC ID
4385885292
Professional Enrollment ID
I20250404001169
Address ID
MI483262383AU2558XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for DR. SHANE PATTERSON

  • 2558 N SQUIRREL RD

    AUBURN HILLS, MI 483262383

    Phone: (248) 340-1100

    Type: Mailing

  • 36475 Five Mile Rd

    Livonia, MI 481541971

    Phone: (734) 655-4800

    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: 2025-04-04

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
I20250404001169IPhysical 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 48326)

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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: 4385885292View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What NPI should I save for DR. SHANE PATTERSON?
Save NPI 1730993403 if you need a stable reference for DR. SHANE PATTERSON.
Does this profile mean DR. SHANE PATTERSON is currently active?
Yes — DR. SHANE PATTERSON appears active in the national provider directory.
What kind of provider is DR. SHANE PATTERSON?
The page reflects Physical Therapist for DR. SHANE PATTERSON. Clinical services aligned with this taxonomy classification.
Does DR. SHANE PATTERSON practice in Michigan?
You will see Auburn Hills, Michigan on file for DR. SHANE PATTERSON alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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