Individual provider Active NPI

Shannon Michelle Gorrie, PT, DPT, ETC.

  • Physical Therapist
  • Graham, WA
National Provider Identifier
1922452754
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1271327 Issued in TX
Practice address
21806 103Rd Avenue CT E Ste 103
Graham, WA 98338-8115
Phone
(253) 847-3700
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 GA
Physical Therapist 225100000X 1271327 TX Primary

Addresses

Primary practice location

21806 103Rd Avenue CT E Ste 103
Graham, WA 98338-8115

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

11481 Toepperwein Rd
1201
Live Oak, TX 78233-3145
Phone (210) 599-8903

Other practice location 2

747 S Beckham Ave
Tyler, TX 75701-1903
Phone (903) 705-4232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theraworks Inc Physical Therapist Current Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Feb 26, 2024 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Theraworks Inc Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
PT Holdings of Denton LLC Physical Therapist PastSince Dec 3, 2023 Accepting new patients
RPM Rehab, Inc Physical Therapist PastSince Jul 24, 2018 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

5514 Atascocita Rd
Ste 160
Humble, TX 77346
Phone (281) 441-5371

5514 Atascocita Rd
Humble, TX 77346
Phone (281) 441-5371

605 Rockmead Dr
Ste 200
Kingwood, TX 77339
Phone (281) 348-9588

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

21806 103rd Avenue Ct E
Ste 103
Graham, WA 98338
Phone (253) 847-3700

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Organizations & group practices 8

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1922452754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21806 103RD AVENUE CT E STE 103",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388115",
            "telephone_number": "253-847-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11481 Toepperwein Rd",
            "address_2": "1201",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333145",
            "country_code": "US",
            "telephone_number": "210-599-8903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 S Beckham Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011903",
            "country_code": "US",
            "telephone_number": "903-705-4232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORRIE",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT, ETC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1271327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.