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

Mr. Derek T Shields, PT

Individual provider Physical Therapist · NPI 1275649584

Mr. Derek T Shields, PT is a Physical Therapist in Private Practice in Schaumburg, Illinois. Qualified in 2001, 25 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
25
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

50 W Schaumburg Rd
Schaumburg, IL 60194-3502
Phone: (847) 490-7100
Fax: (847) 490-9356
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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 070-012693 (IL)

Record details

NPI number1275649584
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESOctober 21, 2016
Mailing address625 Enterprise Dr, Oak Brook, IL 60523-8813

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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