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

Mr. Shannon Wilcken, PTA

Individual provider Physical Therapy Assistant · NPI 1467681304

Mr. Shannon Wilcken, PTA is a Physical Therapy Assistant in Venice, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3849 Woodmere Park Blvd Apt 6
Venice, FL 34293-5285
Phone: (863) 214-4333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA21276 (FL)

Record details

NPI number1467681304
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 14, 2009
Last updated in NPPESJuly 14, 2009

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