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

Shannan C Vincent, PT

Individual provider Physical Therapist · NPI 1982249090

Shannan C Vincent, PT is a Physical Therapist in Private Practice in South Bend, Indiana. Qualified in 1993, 33 years ago. Practices with Senior Outpatient Services, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
33
Licensed in
IN
In the registry since
2019
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

3016 Portage Ave
South Bend, IN 46628-3501
Phone: (574) 272-9011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1220 E Jackson Blvd, Elkhart, IN 46516-4419 — (574) 333-9747

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05003605A (IN)

Record details

NPI number1982249090
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 12, 2019
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Senior Outpatient Services — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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