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

Shaney Sakamoto, DPT

Individual provider Physical Therapist · NPI 1639714892

Shaney Sakamoto, DPT is a Physical Therapist in Private Practice in Oak Lawn, Illinois. Qualified in 2019, 7 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
7
Licensed in
IL, MO
In the registry since
2019
Specialties on file
2
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

9634 S Pulaski Rd
Oak Lawn, IL 60453-3391
Phone: (708) 423-4800
Fax: (708) 423-4843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 790 N Highway 67 St, Florissant, MO 63031-5108 — (314) 972-1442

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070026558 (IL)
Physical Therapist Taxonomy 225100000X · Licence 2019030139 (MO)

Record details

NPI number1639714892
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 12, 2019
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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