SHANNON MARIE IRISH (PT) – Physical Therapist, NPI 1083993166

SHANNON MARIE IRISH (PT) is a healthcare provider. based in Edwards, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 7586 (CO). The NPI Number for SHANNON MARIE IRISH (PT) is 1083993166

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON MARIE IRISH (PT)
NPI
1083993166
Phone
(970) 306-8609
Address
PO BOX 13
Enumeration Date
8 August 2011
Last Update Date
19 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9707909600
Graduation Year
1998 (28 years ago)
PAC ID
5991693178
Group Practice PAC ID
7214188895
Professional Enrollment ID
I20040309000649
Address ID
CO816200000AV142XXPLAC401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,986 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for SHANNON MARIE IRISH (PT)

  • PO BOX 13

    EDWARDS, CO 816320013

    Phone: (970) 306-8609

    Type: Mailing

  • 105 EDWARDS VILLAGE BLVD

    SUITE G201

    EDWARDS, CO 81632

    Phone: (970) 306-8609

    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: 2004-03-09

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
I20040309000649IPhysical Therapist In Private PracticeCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes77369$0
97530Therapy procedure using functional activities64858$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes53058$0
97140Therapy procedure using manual technique, each 15 minutes49953$0
97016Application of blood vessel compression device10411$0
View full utilization report →

Insurance plans in this area (ZIP 81632)

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Provider's Procedures

SHANNON MARIE IRISH (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCO97001Physical therapy evaluation5245

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: 7214188895View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Does SHANNON MARIE IRISH (PT) have a public NPI I can cite?
Public records show SHANNON MARIE IRISH (PT) under NPI 1083993166.
Is SHANNON MARIE IRISH (PT)'s NPI status active today?
Active status means SHANNON MARIE IRISH (PT)'s NPI record is not deactivated in the public file.
What does the directory say SHANNON MARIE IRISH (PT) does?
Insurance directories may phrase it differently, but here SHANNON MARIE IRISH (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit SHANNON MARIE IRISH (PT) in Edwards, Colorado?
For routing, start with Edwards, Colorado for SHANNON MARIE IRISH (PT), then verify phone and hours locally.
Who maintains SHANNON MARIE IRISH (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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