Individual provider Active NPI

Shawn Chesser, PT

  • Physical Therapist
  • Perrysburg, OH
National Provider Identifier
1811227077
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012192 Issued in OH
Practice address
12611 Eckel Junction Rd
Perrysburg, OH 43551-1304
Phone
(419) 491-7150
Fax
(419) 745-8819
NPI assigned
Jan 10, 2010
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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 012192 OH Primary

Addresses

Primary practice location

12611 Eckel Junction Rd
Perrysburg, OH 43551-1304

Mailing address

12611 Eckel Junction Rd
Perrysburg, OH 43551-1304
Phone (419) 491-7150

Other practice location 1

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 479-5960

Other practice location 2

4900 N McCord Rd Ste A1
Sylvania, OH 43560-3195
Phone (419) 517-1040

Other identifiers 1

IdentifierTypeStateIssuer
3056544MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000252 OH Practitioner - Physical Therapist in Private Practice 9234268590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 479-5398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012192OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated CurrentSince Jan 25, 2018 Accepting new patients
Toledo Clinic Incorporated CurrentSince Jan 25, 2018 Accepting new patients
Prohealth Partners Inc. Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

4900 N McCord Rd
Ste A1A
Sylvania, OH 43560
Phone (419) 517-1040

7640 Sylvania Ave
Ste O
Sylvania, OH 43560
Phone (419) 479-5960

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

Organizations & group practices 5

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": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1811227077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-491-7150",
            "fax_number": "419-745-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-491-7150",
            "fax_number": "419-745-8819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4235 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234299",
            "country_code": "US",
            "telephone_number": "419-479-5960",
            "fax_number": "419-479-5435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 N McCord Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435603195",
            "country_code": "US",
            "telephone_number": "419-517-1040",
            "fax_number": "419-517-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHESSER",
        "first_name": "SHAWN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-10",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3056544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.