Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNAN C VINCENT PT
NPI 1982249090
Physical Therapist in South Bend, IN

Active since November 12, 2019Accepts Medicare Assignment
3016 PORTAGE AVE, SOUTH BEND, IN 46628(574) 272-9011 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannan C Vincent Pt NPPES

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

SHANNAN C VINCENT PT (NPI 1982249090) is an individual physical therapist in South Bend, Indiana, licensed in Indiana (05003605A) and active in the NPI registry since November 2019. She maintains a secondary practice location in Elkhart and is a graduate of Other (1993).

NPPES Registry Identity

NPI1982249090
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSHANNAN C VINCENTCredential: PT
Location Address3016 PORTAGE AVESouth Bend, IN 46628-3501
Mailing Address686 Forest CtNappanee, IN 46550-2831 · (574) 773-0207
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 12, 2019
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1982249090 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 IN · 05003605A
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.
3016 PORTAGE AVE, South Bend, IN 46628

Secondary Practice Location 1

Location 11220 E Jackson BlvdElkhart, IN 46516-4419 · Phone (574) 333-9747 · Fax (574) 367-2369

Other Identifiers 1

Medicaid300032594IN

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

Shannan C Vincent Pt 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 ID4789017682
PECOS Enrollment IDI20191206002388

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46628 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 4

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

Physical Therapy Assistant
3016 PORTAGE AVE
SOUTH BEND, IN 46628
Occupational Therapy Assistant
3016 PORTAGE AVE
SOUTH BEND, IN 46628
Physical Therapy Assistant
3016 PORTAGE AVE
SOUTH BEND, IN 46628
Occupational Therapist
3016 PORTAGE AVE
SOUTH BEND, IN 46628

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 Shannan Vincent's NPI number?

The NPI number for Shannan Vincent is 1982249090. It was assigned to this individual provider in the NPPES registry on November 12, 2019.

Where is Shannan Vincent located?

Shannan Vincent practices at 3016 Portage Ave, South Bend, IN 46628. The listed phone number is (574) 272-9011.

What is Shannan Vincent's specialty?

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

Is Shannan Vincent enrolled in Medicare?

Yes. Shannan Vincent 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 Shannan Vincent was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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.