IndividualActive
Shannon Wynn, DPT
NPI 1689340291 · Physical Therapist · Las Vegas, NV
Provider details
- NPI number
- 1689340291
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4642 (NV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2820 W Charleston Blvd Ste 1
Las Vegas, NV 89102-1942
Phone: (725) 726-7847
Fax: (725) 726-7876
Street-level locationGet directions
Mailing address
9500 W Maule Ave Unit 2029
Las Vegas, NV 89148-4279
Registry dates
- Enumerated
- 2021-08-23
- Last updated
- 2022-05-18
- Certified
- 2022-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.