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

Individual provider Physical Therapist · NPI 1083134688

Joseph Shannon, DPT is a Physical Therapist in Private Practice in Beaverton, Oregon. Qualified in 2017, 9 years ago. Practices with Sportscare Physical Therapy @ Cornell, LLC, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

15390 NW Cornell Rd Ste 230
Beaverton, OR 97006-5627
Phone: (971) 245-6663
Fax: (971) 245-6664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10121 Se Sunnyside Rd Ste 208, Clackamas, OR 97015-5750 — (503) 794-0103

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 62366 (OR)

Record details

NPI number1083134688
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 23, 2017
Last updated in NPPESMarch 17, 2018
Mailing address10121 Se Sunnyside Rd Ste 208, Clackamas, OR 97015-5750

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sportscare Physical Therapy @ Cornell, Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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