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

Shannon Maixner, PT

Individual provider Physical Therapist · NPI 1861583379

Shannon Maixner, PT is a Physical Therapist in Private Practice in Mahtomedi, Minnesota. Qualified in 1990, 36 years ago. Practices with Fitness Focus, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
36
Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

688 Wildwood Rd
Mahtomedi, MN 55115-1812
Phone: (651) 429-9947
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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 4723 (MN)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1861583379
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address688 Wildwood Rd, Mahtomedi, MN 55115-1812

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Fitness Focus, Inc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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