Shawn M Meyer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1776 W Centennial PL
Addison, IL 60101-1075

Phone

(630) 953-0343

Fax

(630) 953-0353

NPI assigned

May 29, 2019

Last updated

May 29, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

• Chebny Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Grayslake, IL
  • NPI 1598204505
  Medicare reassignment

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1396303061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 W CENTENNIAL PL",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011075",
            "telephone_number": "630-953-0343",
            "fax_number": "630-953-0353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Oakmont Ln Ste 600C",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605595548",
            "country_code": "US",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "SHAWN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Luna Medlicott, MS, OTR/L
• Sarah Melby, CPNP-PC
• Lorena Mendoza
• Rachel Menge, LCSW, LMSW
• Delia Mercado
• Midwest Primary Care Associates,LTD
• Ronald Eugene Mijewski, DDS
• Tyler James Miksanek, MD
• Laura H Millard, LCSW-C
• Aarika Miller, LCSW, CDVP

• Physical Therapist in Addison, IL
• Providers in Addison, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.