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

Individual provider Physical Therapist · NPI 1639454192

Shannon B Welch, PT, DPT is a Physical Therapist in Private Practice in Summit, New Jersey. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in New Jersey and Virginia.

Years since qualifying
15
Licensed in
NJ, VA
In the registry since
2011
Specialties on file
2
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

58 Portland Rd
Summit, NJ 07901-3045
Phone: (908) 447-1706
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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 40QA01495000 (NJ)
Physical Therapist Taxonomy 225100000X · Licence 2305207169 (VA)

Record details

NPI number1639454192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 17, 2011
Last updated in NPPESNovember 22, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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