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

Mikala Shannon

Individual provider Physical Therapist · NPI 1194601989

Mikala Shannon is a Physical Therapist in Private Practice in Bradenton, Florida. Qualified in 2025, 1 year ago. Practices with Children's Therapy Solutions Inc, a 2-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

3823 E State Road 64
Bradenton, FL 34208-9041
Phone: (941) 745-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1331 10th St E, Palmetto, FL 34221-4137 — (941) 745-5111

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1194601989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address3823 E State Road 64, Bradenton, FL 34208-9041

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 Children'S Therapy Solutions Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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