Active NPI
Shelley K McCabe, DPT
- Physical Therapist
- Heppner, OR
National Provider Identifier
1073746541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5996
- Practice address
- 695 Alfalfa Street
Heppner, OR 97836 - Phone
- (541) 676-1123
- Fax
- (541) 676-1122
- NPI assigned
- Aug 31, 2009
- Last updated
- Nov 11, 2024
- 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 | 5996 | OR | Primary |
Addresses
Primary practice location
695 Alfalfa Street
Heppner, OR 97836
Mailing address
PO Box 90
Sunnyside, WA 98944-0090
Other names 1
- Shelley K Rietmann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
695 S Alfalfa St
Heppner, OR 97836-6300
Phone (541) 676-2945
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5996 | OR | MD | Pharmacist |
Organizations & group practices 1
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.
-
- Physical Therapist
- Heppner, OR
- NPI 1760400956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1073746541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989440090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 ALFALFA STREET",
"city": "HEPPNER",
"state": "OR",
"postal_code": "97836",
"telephone_number": "541-676-1123",
"fax_number": "541-676-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCABE",
"first_name": "SHELLEY",
"middle_name": "K",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "RIETMANN",
"middle_name": "K",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Heppner, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.