Individual provider Active NPI

Melissa J Shelton, DPT

  • Physical Therapist
  • Marshfield, MO
National Provider Identifier
1154738045
Registry record updated Jul 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2013028764 Issued in MO
Practice address
1350 Spur Dr Ste 180
Marshfield, MO 65706-2190
Phone
(418) 859-3991
Fax
(417) 859-0100
NPI assigned
Jul 13, 2014
Last updated
Jul 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2013028764 MO Primary

Addresses

Primary practice location

1350 Spur Dr Ste 180
Marshfield, MO 65706-2190

Mailing address

1350 Spur Dr Ste 180
Marshfield, MO 65706-2190
Phone (417) 859-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811002677 MO Practitioner - Physical Therapist in Private Practice 9931326170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arc Physical Therapy Plus LPGroup PAC ID 6204050453, 59 clinicians

Practice addresses (Care Compare)

10400 Hickman Mills Dr
Suite 150
Kansas City, MO 64137-1620
Phone (816) 877-0561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Physical Therapy Plus LP CurrentSince Dec 7, 2015 Accepting new patients
Arc Physical Therapy Plus LP Physical Therapist CurrentSince Dec 7, 2015 Accepting new patients
BT Acquisitions, LLC Physical Therapist PastSince Sep 19, 2014 Accepting new patients

Locations

10400 Hickman Mills Dr
Ste 150
Kansas City, MO 64137
Phone (816) 232-9420

144 Evergreen Pkwy
Lebanon, MO 65536
Phone (417) 657-8000

527 N State Route 291
Ste A
Liberty, MO 64068
Phone (816) 792-0849

1711 W Battlefield St
Ste Q
Springfield, MO 65807
Phone (417) 799-3377

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405209600000",
    "number": "1154738045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SPUR DR STE 180",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062190",
            "telephone_number": "417-859-3991",
            "fax_number": "417-859-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SPUR DR STE 180",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062190",
            "telephone_number": "418-859-3991",
            "fax_number": "417-859-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2014-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013028764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; 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.