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NPISignal

Individual Healthcare Provider

Shannon Mahoney

NPI Record: ActivePhysical Therapy Assistant
NPI1194333906
Clackamas, Oregon

Provider's NPPES record last updated: July 17, 2020

Overview

Entity Type
Individual Healthcare Provider
NPI
1194333906
Primary Specialty
Physical Therapy Assistant
Practice Location
Clackamas, Oregon
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 2:14 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physical Therapy Assistant

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Primary

    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

    Taxonomy code 225200000X

Provider-Reported License Information

Physical Therapy Assistant (Oregon)
9858
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

8810 Se Sunnybrook Blvd Ste 100

Clackamas, Oregon 97015-6805

Phone: (503) 607-2226

Additional Practice Location

10915 Se Stark St

Portland, Oregon 97216-3348

Phone: (503) 261-1120

Additional Practice Location

17400 Sw Upper Boones Ferry Rd Ste 280

Portland, Oregon 97224-7097

Phone: (503) 455-8663

Additional Practice Location

6172 Bonita Rd # Aptb101

Lake Oswego, Oregon 97035-3178

Phone: (503) 358-2644

Record Information

Enumeration Date
July 17, 2020
Provider's NPPES Record Last Updated
July 17, 2020
Certification Date
July 17, 2020
NPISignal NPPES Dataset
August 2026

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