Active NPI
Shelley Eileen Frost, DPT
- Physical Therapist
- Goshen, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010981A
- Practice address
- 2222 Rieth Blvd
Goshen, IN 46526-5868 - Phone
- (574) 875-9616
- NPI assigned
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05010981A | IN | Primary |
Addresses
Primary practice location
2222 Rieth Blvd
Goshen, IN 46526-5868
Mailing address
21529 Maple Glen Dr
Edwardsburg, MI 49112-8700
Phone (574) 250-5089
Other names 1
- Shelley Eileen Roberts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2222 Rieth Blvd
Suite 103
Goshen, IN 46526-5869
Phone (574) 875-9616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Health, LLC | Physical Therapist | Current | Accepting new patients |
| Beacon Medical Group, Inc. | Past | Accepting new patients | |
| Beacon Health, LLC | Past | Accepting new patients |
Locations
2222 Rieth Blvd
Ste 103
Goshen, IN 46526
Phone (574) 875-9616
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
1815 E Ireland Rd
#100
South Bend, IN 46614
Phone (574) 647-5790
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Granger, IN
- NPI 1386154821
-
- Diagnostic Radiology Physician
- Goshen, IN
- NPI 1952982217
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1063200186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21529 MAPLE GLEN DR",
"city": "EDWARDSBURG",
"state": "MI",
"postal_code": "491128700",
"telephone_number": "574-250-5089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 RIETH BLVD",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265868",
"telephone_number": "574-875-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "SHELLEY",
"middle_name": "EILEEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010981A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "ROBERTS",
"middle_name": "EILEEN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.