Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Shannon Blake Middleton, BS, MPT, DPT

Individual provider Physical Therapist · NPI 1245239078

Mrs. Shannon Blake Middleton, BS, MPT, DPT is registered under Physical Therapist in Private Practice in Cincinnati, Ohio. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2005
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1325 E Kemper Rd Ste 100
Cincinnati, OH 45246-3921 Not confirmed with CMS for 10 years — call before visiting
Phone: (513) 823-4247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT10466 (OH)

Record details

NPI number1245239078
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , MPT , DPT
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESMay 5, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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