DR. WILLIAM CONNOR SHANNON (DPT) – Physical Therapist, NPI 1174353262

DR. WILLIAM CONNOR SHANNON (DPT) is a healthcare provider. based in Birmingham, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTH11938 (AL). The NPI Number for DR. WILLIAM CONNOR SHANNON (DPT) is 1174353262

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM CONNOR SHANNON (DPT)
NPI
1174353262
Phone
(205) 263-2770
Address
3125 INDEPENDENCE DR STE 300B
Enumeration Date
5 August 2024
Last Update Date
5 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2056551009
Graduation Year
2024 (2 years ago)
PAC ID
5496296717
Group Practice PAC ID
2860523552
Professional Enrollment ID
I20240926000347
Address ID
AL351731496TR183XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for DR. WILLIAM CONNOR SHANNON (DPT)

  • 3125 INDEPENDENCE DR STE 300B

    BIRMINGHAM, AL 352094168

    Phone: (205) 263-2770

    Fax: (205) 263-0994

    Type: Mailing

  • 183 MAIN ST STE D

    TRUSSVILLE, AL 351731496

    Phone: (205) 655-1009

    Fax: (205) 655-1264

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240926000347IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860523552View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

What identifier follows DR. WILLIAM CONNOR SHANNON (DPT) across health systems?
The NPI 1174353262 uniquely identifies DR. WILLIAM CONNOR SHANNON (DPT) in U.S. healthcare data.
Is DR. WILLIAM CONNOR SHANNON (DPT)'s NPI status active today?
Active status means DR. WILLIAM CONNOR SHANNON (DPT)'s NPI record is not deactivated in the public file.
What does the directory say DR. WILLIAM CONNOR SHANNON (DPT) does?
Insurance directories may phrase it differently, but here DR. WILLIAM CONNOR SHANNON (DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. WILLIAM CONNOR SHANNON (DPT)?
DR. WILLIAM CONNOR SHANNON (DPT) shows a connection to Birmingham, Alabama in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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