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

Shannon Marie Irish, PT

Individual provider Physical Therapist · NPI 1083993166

Shannon Marie Irish, PT is a Physical Therapist in Private Practice in Avon, Colorado. Qualified in 1998, 28 years ago. Practices with Axis Sports Medicine LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
28
Licensed in
CO
In the registry since
2011
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

142 E Beaver Creek Blvd Unit 109
Avon, CO 81620-4800
Phone: (970) 790-9600
Fax: (970) 790-9601
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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 7586 (CO)

Record details

NPI number1083993166
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 8, 2011
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Axis Sports Medicine Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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