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

Shannon Hanes

Individual provider Physical Therapist · NPI 1568271864

Shannon Hanes is a Physical Therapist in Private Practice in Kentwood, Michigan. Qualified in 2024, 2 years ago. Practices with Advent Rehabilitation, LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2025
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Practice location Address checks out

2080 44th St SE Ste 150
Kentwood, MI 49508-5296
Phone: (161) 657-7821
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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 5501303593 (MI)

Record details

NPI number1568271864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2025
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395

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 Advent Rehabilitation, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kentwood