Shannan C. Vincent, PT
Physical Therapist · South Bend, IN
Shannan C. Vincent, PT is a physical therapist with a practice address in South Bend, Indiana, and NPI 1982249090, issued on Nov 12, 2019. Check the license (Indiana 05003605A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shannan C. Vincent
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 05003605A IN
Self-reported in NPPES; status is on the state search - Practice location
- 3016 Portage Ave, South Bend, IN 46628
- Phone
- (574) 272-9011
- Enumerated
- Nov 12, 2019
- Record last updated
- Jun 30, 2026
- Medicaid ID
- 300032594 IN
- Medicare enrollment
- Enrolled (PECOS I20191206002388); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 4,894 in Indiana → Look up another NPI →
Also registered at 3016 Portage Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mariah HatkevichOccupational Therapist1760096317
- Bonnie Meyer, PTAPhysical Therapy Assistant1639709785
- Kaity Mitchell, COTAOccupational Therapy Assistant1467068775
- Candice PrangerPhysical Therapy Assistant1255949541
Verify Shannan C. Vincent in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 05003605ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Senior Outpatient ServicesElkhart, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shannan C. Vincent among 4,894 physical therapist records in Indiana
Shannan C. Vincent, PT is one of 4,894 physical therapist records with a practice address in Indiana. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 67% of them.
- NPI issued2019 · 67% of these records are older, 28% newer
- In a Medicare fileYes · 31% of these records are
- In the CMS Doctors and Clinicians fileYes · 31% of these records are
- Graduated1993 · median 2015 among the 1,533 with a school on file
- Record last updated2026 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
104 physical therapist records list a practice address in South Bend
They are 104 of the 3,178 NPPES records with a practice address in South Bend, and 4,894 physical therapist records in Indiana.
All 4,894 in Indiana → Every provider in South Bend → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Opeyemi AdesinaSouth Bend, IN 466281508664681
- Michael AspiotesSouth Bend, IN 466281720841216
- Consolacion Besario, RPTSouth Bend, IN 466281427318914
- Victor SalinasSouth Bend, IN 466281053176743
- Ogenna UmehSouth Bend, IN 466281316517709
- Shelby Verhage, PTSouth Bend, IN 466281629511779
- Patrick Christianson, P.T.South Bend, IN 466351427070697
- Julie Cummins, PTSouth Bend, IN 466351801811476
Common questions
What is Shannan C. Vincent, PT's NPI number?
Shannan C. Vincent, PT's National Provider Identifier (NPI) is 1982249090, issued on Nov 12, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Shannan C. Vincent, PT located?
The NPPES record lists a practice address at 3016 Portage Ave, South Bend, IN, 46628. Phone: (574) 272-9011. Providers update this record themselves, so call before visiting.
How can I verify Shannan C. Vincent, PT's license?
NPPES lists Indiana license number 05003605A, as entered by the provider. Search the Indiana 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. Medicare files from data.cms.gov. 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.