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

Shannon Miller, PT, DPT

Individual provider Physical Therapist · NPI 1669197489

Shannon Miller, PT, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Impact Physical Therapy, LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3420 N Lincoln Ave
Chicago, IL 60657-1195
Phone: (773) 360-7287
Fax: (773) 570-4843
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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 07026983 (IL)

Record details

NPI number1669197489
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 4, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Impact Physical Therapy, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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