Individual provider Active NPI

Shawn Cadag Paulo, DPT

  • Physical Therapist
  • Canton, MI
National Provider Identifier
1851964506
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501020088 Issued in MI
Practice address
1693 N Canton Center Rd
Canton, MI 48187-2948
Phone
(734) 738-0000
Fax
(734) 738-0038
NPI assigned
Jul 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 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 5501020088 MI Primary

Addresses

Primary practice location

1693 N Canton Center Rd
Canton, MI 48187-2948

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Other practice location 1

1747 N Canton Center Rd
Canton, MI 48187-2948
Phone (734) 738-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722001992 MI Practitioner - Physical Therapist in Private Practice 0244633634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Toledo College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

1747 N Canton Ctr Rd
Canton, MI 48187-2948
Phone (734) 738-0000

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501020088MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Jul 5, 2021 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Jul 5, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

1747 N Canton Center Rd
Canton, MI 48187
Phone (734) 738-0000

1693 N Canton Center Rd
Canton, MI 48187
Phone (734) 738-0000

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

9604 Chilson Cmns
Pinckney, MI 48169

1201 E Main St
Ste A
Pinckney, MI 48169
Phone (734) 648-0138

2215 18 Mile Rd
Sterling Heights, MI 48314
Phone (586) 930-0668

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1851964506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872948",
            "telephone_number": "734-738-0000",
            "fax_number": "734-738-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1747 N Canton Center Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481872948",
            "country_code": "US",
            "telephone_number": "734-738-0000",
            "fax_number": "734-738-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULO",
        "first_name": "SHAWN",
        "middle_name": "CADAG",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.