SHAWN LEE MAINS (PT) – Physical Therapist, NPI 1063487098

SHAWN LEE MAINS (PT) is a healthcare provider. based in Oshkosh, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 4369-024 (WI). The NPI Number for SHAWN LEE MAINS (PT) is 1063487098

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN LEE MAINS (PT)
NPI
1063487098
Phone
(920) 235-8966
Address
909 S WASHBURN ST
Enumeration Date
22 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9202302800
Graduation Year
1992 (34 years ago)
PAC ID
4981890449
Group Practice PAC ID
4385894823
Professional Enrollment ID
I20101130001416
Address ID
WI549024111OS440XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for SHAWN LEE MAINS (PT)

  • 909, South Washburn Street, Oshkosh, Winnebago County, Wisconsin, 54904, United States

    OSHKOSH, WI 549048051

    Phone: (920) 235-8966

    Fax: (920) 235-1526

    Mailing address matches the actual address.

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: 2010-11-30

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
I20101130001416IPhysical Therapist In Private PracticeWITBD

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 54904)

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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: 4385894823View full group profile
NameSpecialtyState
C H I R O P R A C T I CIL
C H I R O P R A C T I CWI
C H I R O P R A C T I CWI
C H I R O P R A C T I CWI
-WI

Reviews

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Frequently asked questions

What number should I use to identify SHAWN LEE MAINS (PT) for billing?
Administrative and clinical systems typically use NPI 1063487098 for SHAWN LEE MAINS (PT).
Should I treat SHAWN LEE MAINS (PT) as an active provider?
Patients and plans typically see SHAWN LEE MAINS (PT) as active in the national extract.
What type of care does SHAWN LEE MAINS (PT) provide?
SHAWN LEE MAINS (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SHAWN LEE MAINS (PT) tied to Oshkosh, Wisconsin?
If you are local to Oshkosh, Wisconsin, SHAWN LEE MAINS (PT) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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