Kelsey Shumway, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11717218-2401 Issued in UT

Practice address

446 S Mall Dr Ste B3
St George, UT 84790-4945

Phone

(435) 767-1252

Fax

(435) 256-8664

NPI assigned

Feb 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shum-Co LLCGroup PAC ID 0345648671, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shum-Co LLC

  • Physical Therapist
  • St George, UT
  • NPI 1740880657
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1063979557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 S MALL DR STE B3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904945",
            "telephone_number": "435-767-1252",
            "fax_number": "435-256-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 S MALL DR STE B3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904945",
            "telephone_number": "435-767-1252",
            "fax_number": "435-256-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11717218-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Shorty
• Raschelle Davis Shoultes, FNP
• Alyssa Shrout, LMT
• Destinee Shults
• Shum-Co LLC
• Michaelyn James Ajaki Shumway
• Tyler Earl Shumway, DPT
• Bret Allen Shupe, DPT
• Joseph Siatini
• Sheila Siddall

• Physical Therapist in St George, UT
• Providers in St George, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.