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

Mr. Shawn Michael Black, MS, PT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1679603575

Mr. Shawn Michael Black, MS, PT is a Physical Medicine & Rehabilitation Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

701 US Highway 31 S
Traverse City, MI 49685-8016
Phone: (800) 406-5143
Fax: (231) 995-9302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501011285 (MI)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 5501011285 (MI)

Record details

NPI number1679603575
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , PT
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

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