MR. SHANNON TAYLOR BOYD (P.T.) – Physical Therapist, NPI 1346543659

MR. SHANNON TAYLOR BOYD (P.T.) is a healthcare provider. based in Denison, Texas. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. 1191251 (TX). The NPI Number for MR. SHANNON TAYLOR BOYD (P.T.) is 1346543659

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. SHANNON TAYLOR BOYD (P.T.)
NPI
1346543659
Phone
(903) 337-1362
Address
3515 W FM 120 STE 103
Enumeration Date
8 December 2010
Last Update Date
25 January 2023

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9033371362
Graduation Year
2009 (17 years ago)
PAC ID
6204012511
Group Practice PAC ID
0648583344
Professional Enrollment ID
I20110523000465
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for MR. SHANNON TAYLOR BOYD (P.T.)

  • 3515 W FM 120 STE 103

    DENISON, TX 750201556

    Phone: (903) 337-1362

    Fax: (903) 337-1377

    Type: Location

  • 8823 PRODUCTION LN

    OOLTEWAH, TN 373636511

    Phone: (423) 238-8923

    Type: Mailing

  • 88 R L FRANKS RD

    DENISON, TX 750217144

    Phone: (903) 227-7654

    Type: Mailing

  • 519 UNIVERSITY PL STE 101

    DURANT, OK 747017102

    Phone: (580) 634-7556

    Fax: (580) 319-7904

    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: 2011-05-23

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
I20110523000465IPhysical 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 75020)

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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: 0648583344View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Does MR. SHANNON TAYLOR BOYD (P.T.) have a public NPI I can cite?
Public records show MR. SHANNON TAYLOR BOYD (P.T.) under NPI 1346543659.
Quick check: is MR. SHANNON TAYLOR BOYD (P.T.) active?
Public NPPES data shows MR. SHANNON TAYLOR BOYD (P.T.) with an active NPI status right now.
Which specialty label fits MR. SHANNON TAYLOR BOYD (P.T.)?
NPPES ties MR. SHANNON TAYLOR BOYD (P.T.) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. SHANNON TAYLOR BOYD (P.T.)?
MR. SHANNON TAYLOR BOYD (P.T.) is associated with Denison, Texas in the same public data insurers reference.
Who maintains MR. SHANNON TAYLOR BOYD (P.T.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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