Michael David Shannon, DPT, CSCS
NPI 1083599062ActiveIndividual· Physical Therapist· Gettysburg, PA
Physical Therapist (DPT, CSCS) with Shippensburg Physical Therapy and Sports Medicine LLC, practicing in Gettysburg, Pennsylvania. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1083599062 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, CSCS |
| Sole proprietor | No |
| NPI issued | Aug 8, 2025 |
| Last updated in NPPES | Aug 8, 2025 |
| Certified by provider | Aug 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT033629 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (PA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Shippensburg Physical Therapy and Sports Medicine LLCWaynesboro, PA · 18 clinicians
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All 27 physical therapists in Gettysburg · All physical therapists in Pennsylvania