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

Logan T Shannon, DPM

Individual provider Podiatrist · NPI 1548757800

Logan T Shannon, DPM is a Podiatry in Sarasota, Florida. Qualified in 2018, 8 years ago. Practices with Nokomis Physical Therapy LLC, a 102-clinician group and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
8
Licensed in
FL, VA
In the registry since
2018
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

943 S Beneva Rd Ste 113
Sarasota, FL 34232-2471
Phone: (941) 316-0133
Fax: (941) 957-3641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO4392 (FL)
Podiatrist Taxonomy 213E00000X · Licence 0103301320 (VA)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence 0103301320 (VA)

Record details

NPI number1548757800
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 21, 2018
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address943 S Beneva Rd Ste 306, Sarasota, FL 34232-2499

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nokomis Physical Therapy Llc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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