Individual provider Active NPI

Shannon Marie Taylor, DPT

  • Physical Therapist
  • Monroe, WA
National Provider Identifier
1508359183
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60866587 Issued in WA
Practice address
17792 147TH St SE
Monroe, WA 98272-1030
Phone
(360) 464-4358
NPI assigned
Jun 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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 PT60866587 WA Primary

Addresses

Primary practice location

17792 147TH St SE
Monroe, WA 98272-1030

Mailing address

10227 20TH St SE Unit A205
Lake Stevens, WA 98258-4788
Phone (218) 616-0101

Other identifiers 1

IdentifierTypeStateIssuer
PT60866587OtherWAPHYSICAL THERAPIST LICENSE

Other names 1

  • Dr. Shannon Marie Vaadeland Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107002674 WA Practitioner - Physical Therapist in Private Practice 7618221797 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.84
Improvement activities
40
Cost
70.51

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Current Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC CurrentSince Aug 10, 2018 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Aug 10, 2018 Accepting new patients
Swedish Health Services Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Aug 10, 2018 Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC Physical Therapist CurrentSince Aug 10, 2018 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Aug 10, 2018 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Aug 10, 2018 Accepting new patients
Engineered Sports 2 PLLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 20, 2024 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Sep 20, 2024 Accepting new patients

Locations

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

13555 SE 36th St
Ste 100
Bellevue, WA 98006

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

2000 Hewitt Ave
Ste 115
Everett, WA 98201
Phone (425) 252-3908

2205 Wall St
Everett, WA 98201
Phone (425) 512-8695

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

17792 147th St SE
Monroe, WA 98272
Phone (360) 464-4358

111 Market St NE
Ste 108
Olympia, WA 98501
Phone (360) 754-7085

22500 NE Marketplace Dr
Ste 204
Redmond, WA 98053
Phone (425) 836-1034

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1508359183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10227 20TH ST SE UNIT A205",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982584788",
            "telephone_number": "218-616-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17792 147TH ST SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721030",
            "telephone_number": "360-464-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60866587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "PT60866587",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "VAADELAND",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.