MR. SHAWN MICHAEL BLACK (M.S., P.T.) – Physical Therapist, NPI 1679603575

MR. SHAWN MICHAEL BLACK (M.S., P.T.) is a healthcare provider. based in Traverse city, Michigan. specializing in Physical Therapist. They hold the professional credentials M.S., P.T.. They hold a License No. 5501011285 (MI). The NPI Number for MR. SHAWN MICHAEL BLACK (M.S., P.T.) is 1679603575

Main info

Male
Name
MR. SHAWN MICHAEL BLACK (M.S., P.T.)
NPI
1679603575
Phone
Not provided
Address
3924 LEESIDE LN
Enumeration Date
7 March 2007
Last Update Date
7 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. SHAWN MICHAEL BLACK (M.S., P.T.)

  • 3924 LEESIDE LN

    TRAVERSE CITY, MI 496868131

    Phone:

    Type: Mailing

  • 3271 RACQUET CLUB DR

    TRAVERSE CITY, MI 496844708

    Phone: (231) 932-9720

    Fax: (231) 995-9302

    Type: Location

  • 701 US HIGHWAY 31 S

    TRAVERSE CITY, MI 496858016

    Phone: (800) 406-5143

    Fax: (231) 995-9302

    Type: Location

  • 1189 GONDER RD

    INTERLOCHEN, MI 496439705

    Phone:

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 49686)

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Reviews

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Frequently asked questions

How do payers reference MR. SHAWN MICHAEL BLACK (M.S., P.T.)?
For MR. SHAWN MICHAEL BLACK (M.S., P.T.), use NPI 1679603575 as the unique 10-digit identifier.
Is there an active status for MR. SHAWN MICHAEL BLACK (M.S., P.T.)?
For scheduling context, MR. SHAWN MICHAEL BLACK (M.S., P.T.) is shown as active in the registry.
What expertise is attributed to MR. SHAWN MICHAEL BLACK (M.S., P.T.)?
MR. SHAWN MICHAEL BLACK (M.S., P.T.)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. SHAWN MICHAEL BLACK (M.S., P.T.) associated with Traverse City?
Public fields place MR. SHAWN MICHAEL BLACK (M.S., P.T.) around Traverse City, Michigan. Always confirm the exact site before visiting.
Can I trust this NPI listing for MR. SHAWN MICHAEL BLACK (M.S., P.T.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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