Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Shane Marlon Pederson, P.T.
Physical Therapist in Palmhurst, TX · enumerated 2008.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1003066853
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Registry record
Entity type Individual (Type 1)
Name Mr. Shane Marlon Pederson
Credential P.T.
Sex Male
Practice address 123 West Mile 3 Road, Suite A-103, Palmhurst, TX, 78573
Phone (956) 585-9889
Fax (956) 585-9896
Enumeration date Sep 29, 2008
Last updated in NPPES Jul 24, 2013
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 1155757 (TX) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation.
About the PT credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1003066853 active?
Yes, as of the latest NPPES snapshot, NPI 1003066853 is active (record last updated 2013-07-24).
How do I verify Shane Pederson's NPI record?
Cross-check NPI 1003066853 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-24.