Shannon Marie Irish, PT
Individual provider Active NPI Physical Therapist · Avon, CO
NPI 1083993166 · NPPES record last updated Jun 11, 2026
Key facts
- NPI
- 1083993166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7586 (CO)
- Practice address
- 142 E Beaver Creek Blvd Unit 109
Avon, CO 81620-4800 - Phone
- (970) 790-9600
- Fax
- (970) 790-9601
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Axis Sports Medicine LLC
Practice addresses (Care Compare)
142 Beaver Creek Place
Unit 109
Avon, CO 81620
Phone (970) 790-9600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040309000649 | CO | Practitioner - Physical Therapist in Private Practice | 5991693178 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7586 | CO | Yes |
Addresses
Primary practice location
142 E Beaver Creek Blvd Unit 109
Avon, CO 81620-4800
Mailing address
PO Box 5584
Frisco, CO 80443-5584
Phone (970) 368-6054
Other providers in Avon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.