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

Individual provider Physical Therapist · NPI 1750699708

Shannon Diamond, DPT is a Physical Therapist in Private Practice in Plymouth, Wisconsin. Qualified in 2004, 22 years ago. Practices with St Nicholas Hospital-Sisters of the Third Order of St Francis, a 175-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Licensed in
WI
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

825 Walton Dr
Plymouth, WI 53073
Phone: (920) 892-4322
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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 10094 (WI)

Record details

NPI number1750699708
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 23, 2010
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020
Mailing addressPo Box 19070, Green Bay, WI 54307-9070

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice St. Nicholas Hospital-Sisters Of The Third Order Of St Francis — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Plymouth