KEEGAN DOUGLAS SHANNON PT, DPT
NPI 1861224412
Physical Therapist in Allendale, MI

Active since August 14, 2024Accepts Medicare Assignment
11160 WJ PRESLEY PKWY STE 103, ALLENDALE, MI 49401(978) 602-7431 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keegan Douglas Shannon Pt, Dpt NPPES

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

KEEGAN DOUGLAS SHANNON PT, DPT (NPI 1861224412) is an individual physical therapist in Allendale, Michigan, licensed in Michigan (5501303485) and active in the NPI registry since August 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1861224412
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKEEGAN DOUGLAS SHANNONCredential: PT, DPT
Location Address11160 WJ PRESLEY PKWY STE 103Allendale, MI 49401-8075
Mailing AddressPo Box 419885Boston, MA 02241-9885 · (914) 294-4050 · Fax (631) 760-8306
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
✔ NPI 1861224412 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
License✔ Licensed in MI · 5501303485
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.
11160 WJ PRESLEY PKWY STE 103, Allendale, MI 49401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keegan Douglas Shannon Pt, Dpt 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 ID1951840990
PECOS Enrollment IDI20240822001635

Medicare Billing Reassignment

Medicare enrollment records show Keegan Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sports Medicine
400 ROUNDS DR
Fenton, MI 48430
  • Reassigned Medicare billing, Michigan enrollment
  • 339 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49401 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

Physical Therapist
11160 WJ PRESLEY PKWY STE 103
ALLENDALE, MI 49401
Physical Therapist
11160 WJ PRESLEY PKWY STE 103
ALLENDALE, MI 49401

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 Keegan Shannon's NPI number?

The NPI number for Keegan Shannon is 1861224412. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Keegan Shannon located?

Keegan Shannon practices at 11160 Wj Presley Pkwy Ste 103, Allendale, MI 49401. The listed phone number is (978) 602-7431.

What is Keegan Shannon's specialty?

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

Is Keegan Shannon enrolled in Medicare?

Yes. Keegan 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.

Which organization bills Medicare for Keegan Shannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keegan Shannon reassigns Medicare benefits to Ivyrehab Michigan, LLC (Fenton, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keegan Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keegan Shannon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Keegan Shannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keegan Shannon was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.