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

Mr. Shane Marlon Pederson, PT

Individual provider Physical Therapist · NPI 1003066853

Mr. Shane Marlon Pederson, PT is a Physical Therapist in Palmhurst, Texas. Licensed in Texas. Registered with an NPI since 2008.

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

See every abbreviation used in this directory →

Practice location Address checks out

123 W Mile 3 Rd Ste A-103
Palmhurst, TX 78573
Phone: (956) 585-9889
Fax: (956) 585-9896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1155757 (TX)

Record details

NPI number1003066853
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 29, 2008
Last updated in NPPESJuly 24, 2013