Individual provider Active NPI

Shannon Collins, PT

  • Physical Therapist
  • Martinsburg, WV
National Provider Identifier
1396401790
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP036933T Issued in WV
Practice address
5078 Williamsport Pike Ste I
Martinsburg, WV 25404-6458
Phone
(304) 271-8895
Fax
(304) 271-8891
NPI assigned
Nov 10, 2021
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28736 MD
Physical Therapist 225100000X CP036933T WV Primary

Addresses

Primary practice location

5078 Williamsport Pike Ste I
Martinsburg, WV 25404-6458

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

405 S Jefferson St Unit B
Frederick, MD 21701-6272
Phone (301) 662-9335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220427001667 MD Practitioner - Physical Therapist in Private Practice 5799172466 Reassigns benefits to 4 organizations
I20251220000546 WV Practitioner - Physical Therapist in Private Practice 5799172466 Reassigns benefits to 1 organization
I20260316001858 DC Practitioner - Physical Therapist in Private Practice 5799172466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Proflex Physical Therapy of Maryland, LLCGroup PAC ID 7416244322, 41 clinicians
Professional Sportscare and Rehab of West Virginia LLCGroup PAC ID 7719037027, 15 clinicians
Bodysense PT, LLCGroup PAC ID 4789756008, 7 clinicians
LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians

Practice addresses (Care Compare)

3320 Crain Hwy
Waldorf, MD 20603-4850
Phone (301) 870-7366

5078 Williamsport Pike
Suite I
Martinsburg, WV 25404-6458
Phone (304) 271-8895

6 Tiger Way
Boonsboro, MD 21713-2084
Phone (301) 432-8585

7611 Crain Hwy
C 170
Upper Marlboro, MD 20772-4258
Phone (443) 481-1140

820 Ritchie Hwy
Suite 100
Severna Park, MD 21146-4111
Phone (443) 481-1140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28736MDMDPhysical Therapist
CP036933TWVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Physical Therapy Services, LLC CurrentSince Nov 16, 2021 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Jan 22, 2022 Accepting new patients
Professional Sportscare & Rehab of West Virginia, LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Proflex Physical Therapy of Maryland, LLC. Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Proflex Physical Thearpy of Maryland, LLC CurrentSince Aug 25, 2025 Accepting new patients
Bodysense PT, LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

6 Tiger Way
Boonsboro, MD 21713
Phone (301) 432-8585

15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

405 S Jefferson St
Unit B
Frederick, MD 21701
Phone (301) 662-9335

820 Ritchie Hwy
Ste 100
Severna Park, MD 21146
Phone (410) 544-6813

7611 Crain Hwy
#C170
Upper Marlboro, MD 20772

3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200

3320 Crain Hwy
Waldorf, MD 20603
Phone (301) 870-7366

5078 Williamsport Pike
Ste I
Martinsburg, WV 25404
Phone (304) 271-8895

Organizations & group practices 10

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1396401790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5078 WILLIAMSPORT PIKE STE I",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046458",
            "telephone_number": "304-271-8895",
            "fax_number": "304-271-8891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 S Jefferson St Unit B",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217016272",
            "country_code": "US",
            "telephone_number": "301-662-9335",
            "fax_number": "301-662-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SHANNON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28736",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "CP036933T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.