Active NPIIndividual provider

Sofia Shannon

Physical Therapist in Medford, New Jersey

NPI Number1669359303
Practice location
200 Tuckerton RD, Medford, NJ 08055-8806
Fax
—
Last updated
August 15, 2025

Sofia Shannon is a Physical Therapist based in Medford, NJ. Sofia Shannon practices in Medford, NJ. The NPI Number for Sofia Shannon is 1669359303. The current practice location address for Sofia Shannon is 200 Tuckerton RD, Medford, NJ 08055-8806 and can be reached out via phone at 856-347-3464.

Provider Profile Details

NPI Number
1669359303
Provider Name
Sofia Shannon
Provider Entity Type
Individual
Gender
Female
Address
200 Tuckerton RD, Medford, NJ 08055-8806
Phone Number
856-347-3464
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2025
Last Update Date
August 15, 2025
Certification Date
August 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Tuckerton RD
Medford, NJ 08055-8806
Zip
08055-8806
Phone Number
856-347-3464
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
206 Poplar Ave
Evesham, NJ 08053-7136
City
Evesham
State
NJ
Zip
08053-7136

License Information

Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sofia Shannon?

The NPI number of Sofia Shannon is 1669359303. It was assigned on August 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Sofia Shannon?

Sofia Shannon is registered under the primary taxonomy Physical Therapist (code 225100000X).

Where does Sofia Shannon practice?

The practice location is 200 Tuckerton RD, Medford, NJ 08055-8806. The office can be reached at 856-347-3464 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669359303 directly on the NPPES registry website.

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