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

Sofia Shannon

Individual provider Physical Therapist · NPI 1669359303

Sofia Shannon is a Physical Therapist in Private Practice in Medford, New Jersey. Qualified in 2025, 1 year ago. Practices with Twin Boro Physical Therapy Associates, PA, a 91-clinician group and accepts Medicare assignment.

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

200 Tuckerton Rd
Medford, NJ 08055-8806
Phone: (856) 347-3464
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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 number1669359303
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address206 Poplar Ave, Evesham, NJ 08053-7136

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 Twin Boro Physical Therapy Associates, Pa — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Medford