SHANNON HEALY (DPT) – Physical Therapist, NPI 1669142170

SHANNON HEALY (DPT) is a healthcare provider. based in Springfield, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2305214672 (VA). The NPI Number for SHANNON HEALY (DPT) is 1669142170

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON HEALY (DPT)
NPI
1669142170
Phone
(703) 569-7335
Address
8348 Traford Ln Ste 100
Enumeration Date
16 September 2021
Last Update Date
12 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072589426
Graduation Year
2021 (5 years ago)
PAC ID
6608230016
Group Practice PAC ID
6406146190
Professional Enrollment ID
I20230918002196
Address ID
WY826016078CA2948XDRXX300

Contacts

Secure Messaging
shealy17@su.edu
Secure Messaging
shealy789607@soc.inova.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for SHANNON HEALY (DPT)

  • 8348 Traford Ln Ste 100

    Springfield, VA 221521650

    Phone: (703) 569-7335

    Fax: (703) 569-0665

    Type: Location

  • 2665 PROSPERITY AVE APT 237

    FAIRFAX, VA 220314921

    Phone: (757) 817-9604

    Type: Mailing

  • 8501 ARLINGTON BLVD STE 200

    FAIRFAX, VA 220314625

    Phone: (703) 970-6490

    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: 2023-09-18

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
I20230918002196IPhysical Therapist In Private PracticeWYTBD

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
97140Therapy procedure using manual technique, each 15 minutes26024$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18323$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes5715$0
View full utilization report →

Insurance plans in this area (ZIP 22152)

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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: 6406146190View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
-WY
-WY

Reviews

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Frequently asked questions

Can I verify SHANNON HEALY (DPT) with an NPI only?
You can start verification with NPI 1669142170 for SHANNON HEALY (DPT), then check state licensing separately.
Is SHANNON HEALY (DPT) listed as active for patients and plans?
The listing shows SHANNON HEALY (DPT) as active in the NPI system.
What is SHANNON HEALY (DPT)'s primary classification?
Physical Therapist is the headline specialty for SHANNON HEALY (DPT) here. Clinical services aligned with this taxonomy classification.
Where is SHANNON HEALY (DPT) based?
SHANNON HEALY (DPT) is tied to Springfield, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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