Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Shoemake, PT

Individual provider Physical Therapist · NPI 1629000997

Michael Shoemake, PT is a Physical Therapist in Private Practice in Libertyville, Illinois. Qualified in 1997, 29 years ago. Practices with The San Antonio Orthopaedic Group LLP, a 140-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
29
Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1017 W Park Ave Ste B
Libertyville, IL 60048-2502
Phone: (847) 996-0650
Fax: (847) 996-0651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070013093 (IL)

Record details

NPI number1629000997
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJanuary 8, 2013
Mailing address205 W Wacker Dr, Suite 1020, Chicago, IL 60606-1216

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice The San Antonio Orthopaedic Group Llp — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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