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

Shannon Marie Vanantwerp, PT

Individual provider Physical Therapist · NPI 1689928012

Shannon Marie Vanantwerp, PT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2012, 14 years ago. Practices with Centre Physical Therapy, an 8-clinician group. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2012
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

1746 W Addison St Unit 1
Chicago, IL 60613-3538
Phone: (773) 770-2000
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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 070019535 (IL)

Record details

NPI number1689928012
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 7, 2012
Last updated in NPPESNovember 8, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Centre Physical Therapy — 8 clinicians
Accepts Medicare assignment Not indicated

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