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

Shannon Wilson

Individual provider Physical Therapist · NPI 1386302792

Shannon Wilson is a Physical Therapist in Seaford, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

750 Hicksville Rd
Seaford, NY 11783-1328
Phone: (516) 520-6000
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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 048269 (NY)

Record details

NPI number1386302792
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2021
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address2191 Rosemont St, North Bellmore, NY 11710-1120

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