Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anne Genevieve Shannon, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1962673913

Anne Genevieve Shannon, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Saint Louis, Missouri. Qualified in 1998, 28 years ago. Practices with Innovative Therapy Services, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
28
Licensed in
MO
In the registry since
2008
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Practice location Address checks out

1000 Des Peres Rd 120
Saint Louis, MO 63131-2050
Phone: (314) 495-8718
Fax: (314) 962-7701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2006028602 (MO)

Record details

NPI number1962673913
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedMarch 18, 2008
Last updated in NPPESJuly 15, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Innovative Therapy Services, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Louis