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

Mr. Shannon B. Ericson, MS, PT

Individual provider Physical Therapist · NPI 1710941455

Mr. Shannon B. Ericson, MS, PT is a Physical Therapist in Overland Park, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5425 W 100th Ter
Overland Park, KS 66207-3119
Phone: (913) 825-6636
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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 11-01600 (KS)

Record details

NPI number1710941455
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , PT
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESJuly 19, 2007

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