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

Individual provider Physical Therapist · NPI 1689340291

Shannon Wynn, DPT is a Physical Therapist in Private Practice in Chandler, Arizona. Qualified in 2021, 5 years ago. Practices with Arizona Luna Care Physical Therapy LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
Specialties on file
2
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

580 N 54th St Ste 1&2
Chandler, AZ 85226-2555
Phone: (702) 556-1163
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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 LPT-034826 (AZ)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence LPT-034826 (AZ)

Record details

NPI number1689340291
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 23, 2021
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address9010 S Priest Dr Apt 3170, Tempe, AZ 85284-1128

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Arizona Luna Care Physical Therapy Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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