SHANNON P LANDGRAF (DPT) – Physical Therapist, NPI 1861968299

SHANNON P LANDGRAF (DPT) is a healthcare provider. based in Bridgeton, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for SHANNON P LANDGRAF (DPT) is 1861968299

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON P LANDGRAF (DPT)
NPI
1861968299
Phone
(314) 739-1123
Address
12468 SAINT CHARLES ROCK RD
Enumeration Date
24 October 2018
Last Update Date
24 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3145029604
Graduation Year
2018 (8 years ago)
PAC ID
4981957271
Group Practice PAC ID
6406393065
Professional Enrollment ID
I20181105000059
Address ID
MO630177882CH14834RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

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Provider Addresses for SHANNON P LANDGRAF (DPT)

  • 12468, Saint Charles Rock Road, Natural Bridge Junction, Bridgeton, Saint Louis County, Missouri, 63044, United States

    BRIDGETON, MO 630442506

    Phone: (314) 739-1123

    Fax: (314) 739-1173

    Type: Location

  • 600, Oakmont Lane, Westmont, DuPage County, Illinois, 60559, United States

    WESTMONT, IL 605595548

    Phone: (630) 575-1980

    Type: Mailing

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: 2018-11-05

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
I20181105000059IPhysical Therapist In Private PracticeMOTBD

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
97530Therapy procedure using functional activities50860$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes48358$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes28757$0
97140Therapy procedure using manual technique, each 15 minutes15333$0
97162Evaluation for physical therapy, typically 30 minutes3126$0
View full utilization report →

Insurance plans in this area (ZIP 63044)

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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: 6406393065View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

How is SHANNON P LANDGRAF (DPT) identified in CMS data?
CMS-hosted NPPES data lists SHANNON P LANDGRAF (DPT) with NPI 1861968299.
Does CMS list SHANNON P LANDGRAF (DPT) as active?
Yes — SHANNON P LANDGRAF (DPT) is active in the NPI listing used on this page.
What is SHANNON P LANDGRAF (DPT)'s primary classification?
Physical Therapist is the headline specialty for SHANNON P LANDGRAF (DPT) here. Clinical services aligned with this taxonomy classification.
Where should I expect SHANNON P LANDGRAF (DPT) on a map?
Expect Bridgeton, Missouri as a primary anchor for SHANNON P LANDGRAF (DPT) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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