DR. VICTORIA SHANNON (DPT) – Physical Therapist, NPI 1063931418

DR. VICTORIA SHANNON (DPT) is a healthcare provider. based in Richmond, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1294491 (TX). The NPI Number for DR. VICTORIA SHANNON (DPT) is 1063931418

Main info

Female
Sole Proprietor
9 Years Of Experience
Name
DR. VICTORIA SHANNON (DPT)
NPI
1063931418
Phone
(979) 248-1641
Address
811 DRACENA CT
Enumeration Date
18 September 2017
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2017 (9 years ago)
PAC ID
9234597899
Group Practice PAC ID
0648692723
Professional Enrollment ID
I20230614002275
Address ID
TX760927632SO180XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for DR. VICTORIA SHANNON (DPT)

  • 811 DRACENA CT

    RICHMOND, TX 774062857

    Phone: (979) 248-1641

    Type: Mailing

  • 16742 SOUTHWEST FWY STE 10

    SUGAR LAND, TX 774792331

    Phone: (346) 788-1352

    Type: Location

  • 1615 HERMANN DR UNIT 2402

    HOUSTON, TX 770047155

    Phone: (979) 248-1641

    Type: Mailing

  • 18648 MCKAY DR STE 210

    HUMBLE, TX 773385724

    Phone: (281) 540-0307

    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: 2023-06-14

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
I20230614002275IPhysical Therapist In Private PracticeTXTBD

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 77406)

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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: 0648692723View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeRI
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. VICTORIA SHANNON (DPT)?
DR. VICTORIA SHANNON (DPT) — NPI 1063931418 — is the standard way to identify this listing.
Is DR. VICTORIA SHANNON (DPT) still practicing?
DR. VICTORIA SHANNON (DPT) is currently listed as active in the public NPI registry.
What healthcare role does DR. VICTORIA SHANNON (DPT) hold?
Scheduling teams often label DR. VICTORIA SHANNON (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does DR. VICTORIA SHANNON (DPT) serve?
DR. VICTORIA SHANNON (DPT)'s listing highlights Richmond, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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