Shawn Nolan, PT, DPT
NPI 1093671729ActiveIndividual· Physical Therapist· Plymouth, MI
Physical Therapist (PT, DPT) in Plymouth, Michigan, trained at Wayne State University School of Medicine (class of 2025). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1093671729 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Dec 26, 2025 |
| Last updated in NPPES | Dec 26, 2025 |
| Certified by provider | Dec 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501304266 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ethos Physical Therapy LLCPlymouth, MI · 7 clinicians
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All 189 physical therapists in Plymouth · All physical therapists in Michigan