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

Michael James Shannon II, PT

Individual provider Physical Therapist · NPI 1952577983

Michael James Shannon II, PT is a Physical Therapist in Vista, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

410 S Melrose Dr Ste 200
Vista, CA 92081-6623
Phone: (858) 229-8178
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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 27069 (CA)

Record details

NPI number1952577983
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 30, 2008
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020

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