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

Mr. Shawn Micheal Minick, PT

Individual provider Orthopedic Physical Therapist · NPI 1164558276

Mr. Shawn Micheal Minick, PT is a Physical Therapist in Private Practice in Statesville, North Carolina. Qualified in 2003, 23 years ago. Practices with Greg Otts Center for Physical Therapy and Sports Performance LLC, a 19-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Licensed in
NC
In the registry since
2007
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

218 Old Mocksville Rd
Statesville, NC 28625-1930
Phone: (704) 838-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 9416 (NC)

Record details

NPI number1164558276
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 25, 2007
Last updated in NPPESApril 7, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Greg Otts Center For Physical Therapy And Sports Performance Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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