Individual provider Active NPI

Shelby N. Barber, DPT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1053087528
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2024035306 Issued in MO
Practice address
12639 Old Tesson Rd Ste 120
Saint Louis, MO 63128-2786
Phone
(314) 756-2800
Fax
(314) 756-2801
NPI assigned
Aug 17, 2021
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008359 KY
Physical Therapist 225100000X 2024035306 MO Primary

Addresses

Primary practice location

12639 Old Tesson Rd Ste 120
Saint Louis, MO 63128-2786

Mailing address

12639 Old Tesson Rd Ste 120
Saint Louis, MO 63128-2786
Phone (314) 756-2800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shelby.barber@direct.signature.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210825002774 KY Practitioner - Physical Therapist in Private Practice 1456756675 Reassigns benefits to 1 organization
I20241004002272 MO Practitioner - Physical Therapist in Private Practice 1456756675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Medical Group IncGroup PAC ID 4880598291, 40 clinicians

Practice addresses (Care Compare)

12639 Old Tesson Rd
Saint Louis, MO 63128-2786
Phone 31484903112384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008359KYMDPhysical Therapist
2024035306MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Louisville, LLC Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients
Prorehab Louisville Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients
Signature Medical Group, Inc CurrentSince Sep 4, 2024 Accepting new patients
Signature Medical Group, Inc CurrentSince Sep 4, 2024 Accepting new patients
Prorehab Louisville Physical Therapist Current Accepting new patients

Locations

1407 E Crystal Dr
Ste E
Lagrange, KY 40031
Phone (502) 222-0280

169 S English Station Rd
Louisville, KY 40245
Phone (502) 245-1136

3052 Bardstown Rd
Louisville, KY 40205
Phone (502) 454-5544

3630 Brownsboro Rd
Louisville, KY 40207
Phone (502) 749-6950

1895 Richardson Rd
Arnold, MO 63010
Phone (314) 756-2800

12639 Old Tesson Rd
Ste 115
Saint Louis, MO 63128
Phone (314) 842-8655

12639 Old Tesson Rd
Ste 120
Saint Louis, MO 63128
Phone (314) 842-3968

12639 Old Tesson Rd
Ste 200
Saint Louis, MO 63128

Interoperability endpoints

  • Direct secure messaging: shelby.barber@direct.signature.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1053087528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD STE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "314-756-2800",
            "fax_number": "314-756-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD STE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "314-756-2800",
            "fax_number": "314-756-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "SHELBY",
        "middle_name": "N.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008359",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024035306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelby.barber@direct.signature.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12639 Old Tesson Rd Ste 115",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631282786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.