Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon Marie Rose, PT, DPT

Individual provider Physical Therapist · NPI 1619340189

Mrs. Shannon Marie Rose, PT, DPT is a Physical Therapist in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4857 Southern Ave SE
Albuquerque, NM 87108
Phone: (505) 710-1562
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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 4035 (NM)

Record details

NPI number1619340189
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedNovember 5, 2015
Last updated in NPPESNovember 5, 2015

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