NPPES file of Aug 9, 2026

Shane Marlon Pederson, P.T.

Physical Therapist · Palmhurst, TX

Shane Marlon Pederson, P.T. is a physical therapist with a practice address in Palmhurst, Texas, and NPI 1003066853, issued on Sep 29, 2008. Check the license (Texas 1155757, as entered in NPPES) with the Texas board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1003066853
Name
Shane Marlon Pederson
Credential
P.T.
Primary taxonomy
Physical Therapist 225100000X
License number
1155757 TX
Self-reported in NPPES; status is on the state search
Practice location
123 West Mile 3 Road, Palmhurst, TX 78573
Phone
(956) 585-9889
Enumerated
Sep 29, 2008
Record last updated
Jul 24, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(956) 585-9896
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 123 West Mile 3 Road

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Luis Martinez, OTOccupational Therapist1306982566

Verify Shane Marlon Pederson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license 1155757
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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1 physical therapist records list a practice address in Palmhurst

They are 1 of the 44 NPPES records with a practice address in Palmhurst, and 15,190 physical therapist records in Texas. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other physical therapist records in Texas

  1. Debra Aaron, PTFort Worth, TX1649607052
  2. Robert AaronHouston, TX1285167908
  3. Anas Fathi Khalil AbabnehRichardson, TX1043782667
  4. J Paul Abadie, P.T., L. AC.Galveston, TX1588798367
  5. Gail Abaray, PTWeatherford, TX1790042141
  6. Tomas Abaray, P.T.Granbury, TX1912573122
  7. Jose Abarca, PHYSICAL THERAPYEl Paso, TX1952880965
  8. Loyd Lendon Abastas, PTMineral Wells, TX1316425143
  9. Lady Fair AbayaIrving, TX1609358365
  10. Ramzi AbbassiCoppell, TX1750986972

Common questions

What is Shane Marlon Pederson, P.T.'s NPI number?

Shane Marlon Pederson, P.T.'s National Provider Identifier (NPI) is 1003066853, issued on Sep 29, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Shane Marlon Pederson, P.T. located?

The NPPES record lists a practice address at 123 West Mile 3 Road, Palmhurst, TX, 78573. Phone: (956) 585-9889. Providers update this record themselves, so call before visiting.

How can I verify Shane Marlon Pederson, P.T.'s license?

NPPES lists Texas license number 1155757, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.