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

Shaun Underwood

Individual provider Physical Therapist · NPI 1356129415

Shaun Underwood is a Physical Therapist in Private Practice in Woodstock, Georgia. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2023
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Practice location Address checks out

116 Love Ln
Woodstock, GA 30188-4281
Phone: (706) 994-2852
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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 PT012934 (GA)

Record details

NPI number1356129415
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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