Kylie Beth Shannon, DPT
NPI 1174189914ActiveIndividual· Physical Therapist· Owasso, OK
Physical Therapist (DPT) in Owasso, Oklahoma, trained at University of Oklahoma College of Medicine (class of 2019). Medicare paid $25,082 for services to 40 patients in 2024.
Overview
| NPI | 1174189914 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | May 16, 2019 |
| Last updated in NPPES | Sep 30, 2020 |
| Certified by provider | Sep 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5659 | OK |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 1,340 across 7 procedure codes |
| Paid by Medicare | $25,082 |
Education and affiliations
| Medical school | University of Oklahoma College of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Advanced Orthopedics of Oklahoma PLLCJenks, OK · 90 clinicians
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All 39 physical therapists in Owasso · All physical therapists in Oklahoma