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

Shannon Staley

Individual provider Physical Therapist · NPI 1881579449

Shannon Staley is a Physical Therapist in Private Practice in Bozeman, Montana. Qualified in 2025, 1 year ago. Practices with Lone Peak Physical Therapy Inc, a 42-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
1
Licensed in
MT
In the registry since
2025
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Practice location Address checks out

630 Boardwalk Ave Ste 1
Bozeman, MT 59718-4118
Phone: (406) 548-6266
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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 PTP-PT-LIC-32690 (MT)

Record details

NPI number1881579449
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lone Peak Physical Therapy Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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