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

Individual provider Physical Therapist · NPI 1083599062

Michael David Shannon, DPT, CSCS is a Physical Therapist in Private Practice in Gettysburg, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Shippensburg Physical Therapy and Sports Medicine LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
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

371 E Water St Ste 1
Gettysburg, PA 17325-1503
Phone: (717) 549-2945
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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 PT033629 (PA)

Record details

NPI number1083599062
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , CSCS
Sole proprietorNo
NPI enumeratedAugust 8, 2025
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Shippensburg Physical Therapy And Sports Medicine Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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