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

Shannon Black

Individual provider Physical Therapist · NPI 1629184213

Shannon Black is a Physical Therapist in Private Practice in Anchorage, Alaska. Graduated from University of Wisconsin School of Medicine in 1993, 33 years ago. Practices with United Physical Therapy Inc, a 34-clinician group and accepts Medicare assignment.

Years since qualifying
33
Trained at
University of Wisconsin School of Medicine
In the registry since
2006
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Practice location Address checks out

4100 Lake Otis Pkwy Ste 106
Anchorage, AK 99508-5222
Phone: (907) 550-6180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1629184213
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESJuly 8, 2007
Mailing address331 Pettis Rd, Anchorage, AK 99515-3350

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice United Physical Therapy Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Anchorage