SOFIA SHANNON
NPI 1669359303
Physical Therapist in Medford, NJ

Active since August 15, 2025Accepts Medicare Assignment
200 TUCKERTON RD, MEDFORD, NJ 08055(856) 347-3464 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sofia Shannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOFIA SHANNON (NPI 1669359303) is an individual physical therapist in Medford, New Jersey and active in the NPI registry since August 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1669359303
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSOFIA SHANNON
Location Address200 TUCKERTON RDMedford, NJ 08055-8806
Mailing Address206 Poplar AveEvesham, NJ 08053-7136
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
NPI 1669359303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
200 TUCKERTON RD, Medford, NJ 08055

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sofia Shannon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476040528
PECOS Enrollment IDI20251014001247

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
200 TUCKERTON RD, SUITE 17
MEDFORD, NJ 08055
Clinic/Center (Physical Therapy)
200 TUCKERTON RD, SUITE 17
MEDFORD, NJ 08055
Specialist/Technologist (Athletic Trainer)
200 TUCKERTON RD
MEDFORD, NJ 08055
Physical Therapist
200 TUCKERTON RD
MEDFORD, NJ 08055
Optometrist
200 TUCKERTON RD, STORE 2
MEDFORD, NJ 08055
Physical Therapist
200 TUCKERTON RD, SUITE 18
MEDFORD, NJ 08055
Pharmacist
200 TUCKERTON RD, RITE AID PHARMACY
MEDFORD, NJ 08055
Physical Therapist (Orthopedic)
200 TUCKERTON RD, STE 17
MEDFORD, NJ 08055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sofia Shannon's NPI number?

The NPI number for Sofia Shannon is 1669359303. It was assigned to this individual provider in the NPPES registry on August 15, 2025.

Where is Sofia Shannon located?

Sofia Shannon practices at 200 Tuckerton Rd, Medford, NJ 08055. The listed phone number is (856) 347-3464.

What is Sofia Shannon's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sofia Shannon enrolled in Medicare?

Yes. Sofia Shannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sofia Shannon was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.