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

Shannon P Landgraf, DPT

Individual provider Physical Therapist · NPI 1861968299

Shannon P Landgraf, DPT is a Physical Therapist in Private Practice in Bridgeton, Missouri. Qualified in 2018, 8 years ago. Practices with Bold Serenity Inc, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12468 Saint Charles Rock Rd
Bridgeton, MO 63044-2506
Phone: (314) 739-1123
Fax: (314) 739-1173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1861968299
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 24, 2018
Last updated in NPPESOctober 24, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Bold Serenity Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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