Individual provider Active NPI

Shawn William Grant, MS PT

  • Physical Therapist
  • Wixom, MI
National Provider Identifier
1487613899
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011503 Issued in MI
Practice address
29822 Wixom Rd.
Wixom, MI 48393
Phone
(248) 926-5826
NPI assigned
Mar 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501011503 MI Primary

Addresses

Primary practice location

29822 Wixom Rd.
Wixom, MI 48393

Mailing address

29822 S Wixom Rd
Wixom, MI 48393-3434
Phone (248) 926-5826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000307 MI Practitioner - Physical Therapist in Private Practice 7911042007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

29822 S Wixom Rd
Wixom, MI 48393-3434
Phone (248) 926-5826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5501011503MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist CurrentSince Jul 8, 2009 Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist Past Accepting new patients

Locations

49650 Cherry Hill Rd
Ste 230
Canton, MI 48187
Phone (734) 495-3725

4128 E Grand River Ave
Howell, MI 48843
Phone (517) 540-1060

9368 N Lilley Rd
Plymouth, MI 48170
Phone (734) 416-3900

29822 S Wixom Rd
Wixom, MI 48393
Phone (248) 912-8356

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487613899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29822 S WIXOM RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933434",
            "telephone_number": "248-926-5826",
            "fax_number": "248-926-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29822 WIXOM RD.",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "48393",
            "telephone_number": "248-926-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "SHAWN",
        "middle_name": "WILLIAM",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.