Active NPI
Shawn Christopher O'Neill, DPT
- Physical Therapist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P14177
- Practice address
- 1602 S Stratford Rd
Winston Salem, NC 27103-2958 - Phone
- (336) 281-2045
- Fax
- (336) 276-2589
- NPI assigned
- Nov 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P14177 | NC | Primary |
Addresses
Primary practice location
1602 S Stratford Rd
Winston Salem, NC 27103-2958
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23271 | MD | MD | Clinical Social Worker |
| 14177 | NC | MD | Dentist |
| 8526 | TN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| P14177 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activcare Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Carolina Rehab Incorporation | Physical Therapist | Current | Accepting new patients |
| Physical Therapy of the Triad, Corp. | Physical Therapist | Current | Accepting new patients |
| Osprey Rehabilitation, LLC. | Past | Accepting new patients | |
| Nashville Sports Medicine and Orthopaedic Center PC | Past | Accepting new patients | |
| Athletic Advantage, Inc. | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461
6224 Fayetteville Rd
Ste 101
Durham, NC 27713
Phone (919) 484-0033
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
500 Americhase Dr
Ste K
Greensboro, NC 27409
Phone (336) 665-8445
3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042
889 Sherwood Ln
Statesville, NC 28677
Phone (704) 881-0088
Organizations & group practices 6
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.
-
dba Pivot Physical Therapy of Carolina
- Clinic/Center
- Raleigh, NC
- NPI 1548409626
Physical Therapist
-
- Physical Therapist
- Statesville, NC
- NPI 1972633956
-
- Physical Therapist
- High Point, NC
- NPI 1790096485
-
dba Sports Physical Therapy & Performance Development Center
- Sports Physical Therapist
- Durham, NC
- NPI 1548474851
-
dba Nashville Sports Medicine
- Orthopaedic Surgery Physician
- Nashville, TN
- NPI 1699969097
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Cape May Court House, NJ
- NPI 1780395806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1609103076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 S STRATFORD RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032958",
"telephone_number": "336-281-2045",
"fax_number": "336-276-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "SHAWN",
"middle_name": "CHRISTOPHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-05",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.