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

Shawn Black, PT

Individual provider Physical Therapist · NPI 1639386030

Shawn Black, PT is a Physical Therapist in Private Practice in Florence, Kentucky. Qualified in 1997, 29 years ago. Practices with Smart Rehab, LLC, a 24-clinician group. Licensed in Kentucky.

Years since qualifying
29
Licensed in
KY
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

2628 Legacy Rdg
Florence, KY 41042-8403
Phone: (859) 512-7826
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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 003292 (KY)

Record details

NPI number1639386030
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address2628 Legacy Rdg, Florence, KY 41042-8403

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Smart Rehab, Llc — 24 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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