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

Mrs. Shannon Joanne Kelly, PT

Individual provider Physical Therapist · NPI 1780991646

Mrs. Shannon Joanne Kelly, PT is a Physical Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
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

3101 SW Sam Jackson Park Rd
Portland, OR 97239-3009
Phone: (503) 221-3429
Fax: (503) 294-3240
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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 2972 (OR)

Record details

NPI number1780991646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 13, 2010
Last updated in NPPESSeptember 13, 2010

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