Chad Donald Shafer, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501017424 Issued in MI

Practice address

1787 W Big Beaver Rd
Suite #250
Troy, MI 48084-3548

Phone

(248) 649-4193

NPI assigned

Sep 16, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Chad D Shafer Professional name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Merion Square Road Medical PC

  • Pain Clinic/Center
  • Dayton, OH
  • NPI 1942923123

  MI

  Medicare reassignment NPD
• Complete Fitness Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Troy, MI
  • NPI 1477546729
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1255700688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 WINDING RIDGE DR",
            "address_2": "3A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397567",
            "telephone_number": "269-326-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 W BIG BEAVER RD",
            "address_2": "SUITE #250",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843548",
            "telephone_number": "248-649-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "CHAD",
        "middle_name": "DONALD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501017424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "SHAFER",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alicia Sevon, LLP
• Stephen W Seward, MD
• Zachary A Seymour, M.D.
• John Shaba
• Maryana Shabo, LLMSW
• Bonnie Shaffer
• Gina Shagena, LMSW
• Bela Sanjay Shah, MD
• Charmy Shah, R.D.H.
• Darshika B Shah, DDS

• Orthopedic Physical Therapist in Troy, MI
• Providers in Troy, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.