Individual provider Active NPI

Shannon N Golding, DPT

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1740957372
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61191059 Issued in WA
Practice address
1702 S 72ND St Ste F
Tacoma, WA 98408-1238
Phone
(253) 475-6779
Fax
(253) 475-7005
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 PT61191059 WA Primary

Addresses

Primary practice location

1702 S 72ND St Ste F
Tacoma, WA 98408-1238

Mailing address

1702 S 72ND St Ste F
Tacoma, WA 98408-1238
Phone (253) 475-6779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211004000828 WA Practitioner - Physical Therapist in Private Practice 5496153678 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61191059WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainier Family Physical Therapy P.S. Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Ross M. Anderson, Anchor Physical Therapy Physical Therapist CurrentSince Jan 15, 2022 Accepting new patients

Locations

6030 Main St SW
Ste D
Lakewood, WA 98499
Phone (253) 347-4747

18710 Meridian E
Ste 215
Puyallup, WA 98375
Phone (253) 875-6826

1407 E 72nd St
Ste A100
Tacoma, WA 98404
Phone (253) 474-7474

Organizations & group practices 2

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1740957372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S 72ND ST STE F",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081238",
            "telephone_number": "253-475-6779",
            "fax_number": "253-475-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S 72ND ST STE F",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081238",
            "telephone_number": "253-475-6779",
            "fax_number": "253-475-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDING",
        "first_name": "SHANNON",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61191059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.