MR. TIMOTHY M. SHANNON (P.T.) – Specialist, NPI 1801832597

MR. TIMOTHY M. SHANNON (P.T.) is a healthcare provider. based in Lake worth, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT 19887 (FL). The NPI Number for MR. TIMOTHY M. SHANNON (P.T.) is 1801832597

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY M. SHANNON (P.T.)
NPI
1801832597
Phone
(561) 967-6500
Address
4801 S CONGRESS AVE
Enumeration Date
21 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
0547299844
Group Practice PAC ID
6406838895
Professional Enrollment ID
I20050808000237
Address ID
FL349944512ST1050XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for MR. TIMOTHY M. SHANNON (P.T.)

  • Palm Beach State College at Lake Worth, 4200, South Congress Avenue, Boynton Beach, Palm Beach County, Florida, 33461, United States

    SUITE 301

    LAKE WORTH, FL 334614746

    Phone: (561) 967-6500

    Fax: (561) 963-5600

    Mailing address matches the actual address.

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: 2005-08-08

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
I20050808000237IPhysical Therapist In Private PracticeFLTBD

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 minutes1,68970$0
97032Application of electrical stimulation with therapist present, each 15 minutes46755$0
97161Evaluation for physical therapy, typically 20 minutes4139$0
View full utilization report →

Insurance plans in this area (ZIP 33461)

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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: 6406838895View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physician AssistantFL
Pain ManagementFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryMA
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Is there an official ID for MR. TIMOTHY M. SHANNON (P.T.) in U.S. healthcare records?
The official identifier for MR. TIMOTHY M. SHANNON (P.T.) is NPI 1801832597.
Active or inactive — what applies to MR. TIMOTHY M. SHANNON (P.T.)?
You should see MR. TIMOTHY M. SHANNON (P.T.) as active in CMS-hosted NPPES data.
How would a patient describe MR. TIMOTHY M. SHANNON (P.T.)'s focus?
For MR. TIMOTHY M. SHANNON (P.T.), the primary taxonomy reads as Other Service Providers. Clinical services aligned with this taxonomy classification.
Is MR. TIMOTHY M. SHANNON (P.T.) associated with Lake Worth?
Public fields place MR. TIMOTHY M. SHANNON (P.T.) around Lake Worth, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for MR. TIMOTHY M. SHANNON (P.T.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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