Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SHANNON WYNN DPT
NPI 1689340291
Physical Therapist in Chandler, AZ

Active since August 23, 2021
580 N 54TH ST STE 1&2, CHANDLER, AZ 85226(702) 556-1163 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2026, Jul 23, 2026, May 18, 2022 and 1 more (4 updates tracked since 2021).

About Shannon Wynn Dpt NPPES

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

SHANNON WYNN DPT (NPI 1689340291) is an individual physical therapist in Chandler, Arizona, licensed in Arizona (LPT-034826) and active in the NPI registry since August 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1689340291
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSHANNON WYNNCredential: DPT
Location Address580 N 54TH ST STE 1&2Chandler, AZ 85226-2555
Mailing Address9010 S Priest Dr Apt 3170Tempe, AZ 85284-1128 · (702) 556-1163
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 23, 2021
Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
NPI 1689340291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in AZ · LPT-034826
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.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License LPT-034826 (AZ)
580 N 54TH ST STE 1&2, Chandler, AZ 85226

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shannon Wynn Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678979440
PECOS Enrollment IDI20260608003767

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 Shannon Wynn's NPI number?

The NPI number for Shannon Wynn is 1689340291. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Shannon Wynn located?

Shannon Wynn practices at 580 N 54th St Ste 1&2, Chandler, AZ 85226. The listed phone number is (702) 556-1163.

What is Shannon Wynn's specialty?

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

Is Shannon Wynn enrolled in Medicare?

Yes. Shannon Wynn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Wynn was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.