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

Individual provider Physical Therapist · NPI 1407463680

Shannon Irwin, DPT is a Physical Therapist in Private Practice in Emeryville, California. Qualified in 2020, 6 years ago. Practices with Stac Physical Therapy Emeryville Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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

2322 Powell St
Emeryville, CA 94608-1738
Phone: (510) 653-5151
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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 298870 (CA)

Record details

NPI number1407463680
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022
Mailing address21132 Garden Ave, Hayward, CA 94541-4816

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Stac Physical Therapy Emeryville Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Emeryville