Shelby Kline, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2193 Issued in WY

Practice address

1211 S Douglas Hwy Ste 120
Gillette, WY 82716-4949

Phone

(307) 670-8111

Fax

(307) 670-8113

NPI assigned

Aug 30, 2022

Last updated

Aug 30, 2022By the provider in NPPES

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 WY, AK2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy of Wyoming LLCGroup PAC ID 0547641037, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy of Wyoming LLC

  • Physical Therapist
  • Gillette, WY
  • NPI 1295481174
  Medicare reassignment Care Compare group NPD
• Summit Physical Therapy, Inc.

  • Physical Therapist
  • Homer, AK
  • NPI 1487157665
  Medicare reassignment NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1154041143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S DOUGLAS HWY STE 120",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164949",
            "telephone_number": "307-670-8111",
            "fax_number": "307-670-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S DOUGLAS HWY STE 120",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164949",
            "telephone_number": "307-670-8111",
            "fax_number": "307-670-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "SHELBY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "2193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Kirsch-Opfar, PPC
• Brenna Kirsch, APRN
• Lisa Kjerstad
• Randy Kjerstad
• Sabra Mae Kjos
• Hillary S Knapp, PHARMD
• Heidi Renae Knight, RN
• Dianna L Knox, LPC, ED.D., NCC
• Jessica Knust
• Amber Knuths, CRNA

• Physical Therapist in Gillette, WY
• Providers in Gillette, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.