Individual provider Active NPI

Shawn Christopher O'Neill, DPT

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1609103076
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14177 Issued in NC
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

Updated by the provider on Jan 15, 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 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

LicenseStateTypeSpecialty
23271MDMDClinical Social Worker
14177NCMDDentist
8526TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P14177NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Aug 9, 2015 Accepting new patients
Carolina Rehab Incorporation Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Physical Therapy of the Triad, Corp. Physical Therapist CurrentSince Jun 21, 2022 Accepting new patients
Osprey Rehabilitation, LLC. PastSince Jul 1, 2023 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.

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.

Verify at the official NPI Registry.