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

Michael Shoemake, PT

Individual provider Physical Therapist · NPI 1629000997

Michael Shoemake, PT is a Physical Therapist in Private Practice in Libertyville, Illinois. Qualified in 1997, 29 years ago. Practices with The San Antonio Orthopaedic Group LLP, a 140-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
29
Licensed in
IL
In the registry since
2006
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

1017 W Park Ave Ste B
Libertyville, IL 60048-2502
Phone: (847) 996-0650
Fax: (847) 996-0651
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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 070013093 (IL)

Record details

NPI number1629000997
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJanuary 8, 2013

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 The San Antonio Orthopaedic Group Llp — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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