MEDICARE: SHANNON ROCK PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT027887	PA

General Provider Information

NPI Number	:	1639716046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON ROCK PT

Provider Business Mailing Address
First Line	:	3001 COOL SPRINGS DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-2033
Country	:	US
Telephone Number	:	412-437-3001
Fax Number	:	412-437-3001

Provider Business Practice Location Address
First Line	:	3001 COOL SPRINGS DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-2033
Country	:	US
Telephone Number	:	412-437-3001
Fax Number	:	412-437-3079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2019
Last Update Date	:	11/06/2025

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Directions to “ SHANNON ROCK PT” Practice Location

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