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

Individual provider Physical Therapist · NPI 1245567361

Shannon Michele Dippold, MPT is a Physical Therapist in Washington, District of Columbia. Practices as a sole proprietor and works from 2 locations. Licensed in District of Columbia, New Jersey and New York.

Licensed in
DC, NJ, NY
In the registry since
2009
Specialties on file
4
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1301 Pennsylvania Ave SE
Washington, DC 20003-3027
Phone: (202) 544-5439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 590 Avenue Of The Americas, New York, NY 10011-2019 — (646) 459-3600

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT872592 (DC)
Physical Therapist Taxonomy 225100000X · Licence 40QA01243700 (NJ)
Physical Therapist Taxonomy 225100000X · Licence PT872592 (DC)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 032014 (NY)

Record details

NPI number1245567361
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorYes
NPI enumeratedNovember 10, 2009
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022

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