Shannon Michele Dippold, MPT
NPI 1245567361ActiveIndividual· Physical Therapist, Pediatrics· Washington, DC
Physical Therapist, Pediatrics (MPT) in Washington, District of Columbia, licensed in DC, NJ and NY, with an NPI issued in November 2009.
Overview
| NPI | 1245567361 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT |
| Sole proprietor | Yes |
| NPI issued | Nov 10, 2009 |
| Last updated in NPPES | Aug 24, 2022 |
| Certified by provider | Aug 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Pediatrics Primary | 2251P0200X | PT872592 | DC |
| Physical Therapist | 225100000X | 40QA01243700 | NJ |
| Physical Therapist | 225100000X | PT872592 | DC |
| Physical Therapist, Pediatrics | 2251P0200X | 032014 | NY |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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