Anna Maria Shelly, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

305652 Issued in CA

Practice address

3400 Elvas Ave
Sacramento, CA 95819-1913

Phone

(916) 457-8802

Fax

(916) 457-7609

NPI assigned

Feb 21, 2024

Sex

Female

Sole proprietor

No

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

East Sacramento Physical Therapy IncGroup PAC ID 0345334561, 6 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.

• East Sacramento Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Sacramento, CA
  • NPI 1871610287
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1124884747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 ELVAS AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958191913",
            "telephone_number": "916-457-8802",
            "fax_number": "916-457-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 ELVAS AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958191913",
            "telephone_number": "916-457-8802",
            "fax_number": "916-457-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLY",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "305652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Alexandria P Shelley
• Mieka Shelley, OT
• Nicolle Marie Shelley
• Raymond Shelley
• Cierra Shellhorn
• Navjit Shelly
• Alisha Gabrielle Shelton
• Asylyah Shelton
• Daniel Shelton, OT
• David K. Shelton, M.D.

• Physical Medicine & Rehabilitation Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.