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

Individual provider Physical Therapist · NPI 1699586719

Shannon Elise Herman, PT, DPT is a Physical Therapist in Private Practice in Goodyear, Arizona. Qualified in 2024, 2 years ago. Practices with White Tanks Physical Therapy and Orthopedic Rehabilitation LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2025
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

250 N Litchfield Rd Ste 155
Goodyear, AZ 85338-1367
Phone: (623) 882-9787
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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 LPT-033913 (AZ)

Record details

NPI number1699586719
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJanuary 17, 2025
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice White Tanks Physical Therapy And Orthopedic Rehabilitation Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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