DR. SHANNON NICOLE POSSARDT (DPT, NCS) – Physical Therapist, NPI 1255060968
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA
Provider Addresses for DR. SHANNON NICOLE POSSARDT (DPT, NCS)
11818 97TH LN NE APT C520
KIRKLAND, WA 980348977
Phone: (630) 709-2331
Type: Mailing
12039 NE 128TH ST STE 200
KIRKLAND, WA 980343029
Phone: (425) 899-1960
Type: Location
654 W THOMAS ST
ELMHURST, IL 601263027
Phone: (630) 709-2331
Type: Mailing
355 E ERIE ST
CHICAGO, IL 606113167
Phone: (312) 238-1000
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: 2024-07-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240729004648 | I | Physical Therapist In Private Practice | IL | TBD |
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.
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 98034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | IL | |
| Qualified Speech Language Pathologist | IL | |
| Physical Therapist In Private Practice | IL | |
| Occupational Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| Occupational Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Occupational Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL |
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