Jacob Shields, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501020040 Issued in MI

Practice address

8741 W Saginaw Hwy
Lansing, MI 48917-7752

Phone

(517) 925-8825

Fax

(517) 990-6212

NPI assigned

May 28, 2021

Last updated

Feb 10, 2025By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resilient Physical TherapyGroup PAC ID 7214472596, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resilient Physical Therapy

  • Physical Therapy Clinic/Center
  • East Lansing, MI
  • NPI 1962264762

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Iron Mitten Performance Physical Therapy, PLLC

  • Physical Therapist
  • Lansing, MI
  • NPI 1396611711
  NPD Authorized official

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1720654940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 SHIRLEY DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017010",
            "telephone_number": "517-990-6210",
            "fax_number": "517-990-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8741 W SAGINAW HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489177752",
            "telephone_number": "517-925-8825",
            "fax_number": "517-990-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C80776",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Leigh Sherwin
• Ian Mawdsley Sherwood, PH.D.
• Shamil Kirteshbhai Sheth, MD
• Jessica Sheveland
• Cody Shields, LLMSW
• Rachel Shillair, LMSW
• Tracy Shilling, PT, DPT
• Janhavi Mukund Shindikar
• Philip Brian Shipley, CRNA
• Michelle Shirey

• Physical Therapist in Lansing, MI
• Providers in Lansing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.