MR. SHAWN MICHEAL MINICK PT
NPI 1164558276
Physical Therapist - Orthopedic in Statesville, NC
About Mr. Shawn Micheal Minick Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHAWN MICHEAL MINICK PT (NPI 1164558276) is an individual orthopedic provider in Statesville, North Carolina, licensed in North Carolina (9416) and active in the NPI registry since February 2007. He is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Shawn Micheal Minick Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Shawn Minick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mooresville, NC 28117
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Greg Otts Center For Physical Therapy And Sports Performance LLC
- 23 clinicians in this Medicare group
Mooresville, NC 28115
- Reassigned Medicare billing, North Carolina enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATESVILLE, NC 28625
STATESVILLE, NC 28625
STATESVILLE, NC 28625
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shawn Minick's NPI number?
The NPI number for Shawn Minick is 1164558276. It was assigned to this individual provider in the NPPES registry on February 25, 2007.
Where is Shawn Minick located?
Shawn Minick practices at 218 Old Mocksville Rd, Statesville, NC 28625. The listed phone number is (704) 838-7620.
What is Shawn Minick's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Shawn Minick enrolled in Medicare?
Yes. Shawn Minick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shawn Minick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Minick reassigns Medicare benefits to 2 organizations: Greg Ott's Center For Physical Therapy And Sports Performance, LLC (Mooresville, NC) and Smpt Physical Therapy & Wellness LLC (Mooresville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawn Minick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Minick accept?
Health plans from Blue Cross and Blue Shield of NC list Shawn Minick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shawn Minick was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Shawn Micheal Minick, PT · NPI 1164558276
Orthopedic provider in Statesville, North Carolina. Individual provider, active in the CMS NPPES registry since February 25, 2007.
## Identity
- **NPI:** 1164558276 (Entity type: Individual)
- **Enumerated:** February 25, 2007
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 9416 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 218 OLD MOCKSVILLE RD, Statesville, NC 28625-1930
- **Phone:** (704) 838-7620
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Greg Ott's Center For Physical Therapy And Sports Performance, LLC (NPI 1427397603, Mooresville, NC); Smpt Physical Therapy & Wellness LLC (NPI 1336908011, Mooresville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** April 7, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1164558276) · Data from the CMS NPPES public registry.