Individual provider Active NPI

Victoria Shannon, DPT

  • Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1063931418
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1294491 Issued in TX
Practice address
16742 Southwest Fwy Ste 10
Sugar Land, TX 77479-2331
Phone
(346) 788-1352
NPI assigned
Sep 18, 2017
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1294491 TX Primary

Addresses

Primary practice location

16742 Southwest Fwy Ste 10
Sugar Land, TX 77479-2331

Mailing address

811 Dracena CT
Richmond, TX 77406-2857
Phone (979) 248-1641

Other names 1

  • Victoria Shannon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614002275 TX Practitioner - Physical Therapist in Private Practice 9234597899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

16742 Southwest Fwy
Sugar Land, TX 77479-2331
Phone (213) 898-2673

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

7200 Cambridge St
FL 10
Houston, TX 77030-4202
Phone (713) 798-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Physical Therapy FL PLLC Physical Therapist CurrentSince Oct 8, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Feb 2, 2026 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Baylor College of Medicine CurrentSince Feb 2, 2026 Accepting new patients

Locations

12411 Hymeadow Dr
Ste 3B
Austin, TX 78750
Phone (512) 250-8497

4950 Terminal St
Ste 100
Bellaire, TX 77401
Phone (832) 307-0894

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

16742 Southwest Fwy
Sugar Land, TX 77479
Phone (832) 307-0894

16742 Southwest Fwy
Ste 10
Sugar Land, TX 77479
Phone (346) 788-1352

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1063931418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 DRACENA CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062857",
            "telephone_number": "979-248-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16742 SOUTHWEST FWY STE 10",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792331",
            "telephone_number": "346-788-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1294491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "SHANNON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.