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

Shanon Williams, DPT

Individual provider Physical Therapist · NPI 1225602436

Shanon Williams, DPT is a Physical Therapist in Private Practice in Corvallis, Oregon. Qualified in 2021, 5 years ago. Practices with Good Samaritan Hospital Corvallis, a 375-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2021
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

845 SW 30th St
Corvallis, OR 97331-8629
Phone: (541) 768-7700
Fax: (541) 768-9784
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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 64064 (OR)

Record details

NPI number1225602436
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 13, 2021
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing addressPo Box 1189, Corvallis, OR 97339-1189

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 Good Samaritan Hospital Corvallis — 375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Corvallis