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

Dominik Alan Shannon, PT, DPT

Individual provider Physical Therapist · NPI 1114409273

Dominik Alan Shannon, PT, DPT is a Physical Therapist in Private Practice in Atlanta, Georgia. Qualified in 2018, 8 years ago. Practices with Atlanta Rehabilitation and Performance Center, a 96-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

842 N Highland Ave NE Ste Ter
Atlanta, GA 30306-4530
Phone: (678) 685-9356
Fax: (678) 685-9357
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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 PT013656 (GA)

Record details

NPI number1114409273
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 5, 2018
Last updated in NPPESSeptember 5, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Atlanta Rehabilitation And Performance Center — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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