DR. SHANNON MARIE TAYLOR (DPT) – Physical Therapist, NPI 1508359183

DR. SHANNON MARIE TAYLOR (DPT) is a healthcare provider. based in Kent, Washington. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT60866587 (WA). The NPI Number for DR. SHANNON MARIE TAYLOR (DPT) is 1508359183

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON MARIE TAYLOR (DPT)
NPI
1508359183
Phone
Not provided
Address
12748 SE 278TH CT
Enumeration Date
8 June 2018
Last Update Date
16 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4258361034
Graduation Year
2018 (8 years ago)
PAC ID
7618221797
Group Practice PAC ID
7810075561
Professional Enrollment ID
I20181107002674
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SHANNON MARIE TAYLOR (DPT)

  • 12748, Southeast 278th Court, Kent, King County, Washington, 98030, United States

    KENT, WA 980308867

    Phone:

    Type: Mailing

  • Northeast Marketplace Drive, Marketplace at Redmond Ridge, Redmond Ridge, Union Hill-Novelty Hill, King County, Washington, 98053, United States

    REDMOND, WA 98053

    Phone: (425) 836-1034

    Type: Location

  • 10227 20TH ST SE UNIT A205

    LAKE STEVENS, WA 982584788

    Phone: (218) 616-0101

    Type: Mailing

  • 17792 147TH ST SE

    MONROE, WA 982721030

    Phone: (360) 464-4358

    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: 2018-11-07

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
I20181107002674IPhysical Therapist In Private PracticeWATBD

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 activities40624$0
97140Therapy procedure using manual technique, each 15 minutes18322$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15821$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11016$0
97161Evaluation for physical therapy, typically 20 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 98030)

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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: 7810075561View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private Practice, Physical Medicine And RehabilitationNY
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SHANNON MARIE TAYLOR (DPT)'s NPI?
Yes. DR. SHANNON MARIE TAYLOR (DPT) is listed with NPI 1508359183 in the public NPI dataset.
Does the file indicate DR. SHANNON MARIE TAYLOR (DPT) is practicing under active NPI?
Directory data currently reports DR. SHANNON MARIE TAYLOR (DPT) as active.
What is DR. SHANNON MARIE TAYLOR (DPT)'s specialty?
The listing groups DR. SHANNON MARIE TAYLOR (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SHANNON MARIE TAYLOR (DPT) on a map?
Expect Kent, Washington as a primary anchor for DR. SHANNON MARIE TAYLOR (DPT) unless the record lists multiple sites.
Why does DR. SHANNON MARIE TAYLOR (DPT) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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