Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Zack Shaw, DPT

Individual provider Physical Therapist · NPI 1154848034

Zack Shaw, DPT is registered under Physical Therapist in Private Practice in Decatur, Illinois. Qualified in 2017, 9 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
9
Licensed in
IL, WI
In the registry since
2017
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

4855-57 E 36
Decatur, IL 62521
Phone: (217) 864-1264
Fax: (217) 864-1828
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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 070023183 (IL)
Physical Therapist Taxonomy 225100000X · Licence 14709 (WI)

Record details

NPI number1154848034
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 23, 2017
Last updated in NPPESJune 25, 2019

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)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients175
Services billed 3,711 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 385 clinicians in the practice; 12 are shown here.

Other providers in Decatur