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

Individual provider Physical Therapist · NPI 1699131276

Nicholas Shamoun, DPT is a Physical Therapist in Private Practice in Macomb, Michigan. Qualified in 2015, 11 years ago. Practices with Cks of Mt Clemens LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

23211 21 Mile Rd
Macomb, MI 48042-5184
Phone: (586) 231-0043
Fax: (586) 741-8953
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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 5501017535 (MI)

Record details

NPI number1699131276
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 12, 2016
Last updated in NPPESJanuary 12, 2016
Mailing address1773 Star Batt Dr, Rochester Hills, MI 48309-3708

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cks Of Mt Clemens Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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