Shelly Ann Koehler, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

802 Issued in NE

Practice address

211 W 38TH St
Scottsbluff, NE 69361-4616

Phone

(308) 633-2025

Fax

(308) 633-2029

NPI assigned

May 16, 2006

Last updated

Sep 5, 2014By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Physical Therapy and Wellness, LLCGroup PAC ID 9830357870, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Elite Physical Therapy & Wellness, LLC

  • Physical Therapist
  • Scottsbluff, NE
  • NPI 1609149483
  Medicare reassignment Care Compare group
• Heartland Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Norfolk, NE
  • NPI 1841214426
  NPD (past) Authorized official
• Elite Chiropractic & Wellness LLC

  • Chiropractor
  • Gering, NE
  • NPI 1659154912
  NPD
• Nebraska City Physical Therapy, LLC

  dba Exstrom Physical Therapy

  • Physical Therapy Clinic/Center
  • Nebraska City, NE
  • NPI 1437453164

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1205888740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 38TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614616",
            "telephone_number": "308-633-2025",
            "fax_number": "308-633-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 38TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614616",
            "telephone_number": "308-633-2025",
            "fax_number": "308-633-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025780200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Klein
• Bailey Kling, CSW
• Annette Knisley
• Mia G Knotts
• Lori Knox
• Anthony J Krajewski II, NRP
• Meghan Krajewski
• Kristen Kraupie
• Rebecca Marie Kreman, APRN
• Sara Jane Krichau, RPH

• Orthopedic Physical Therapist in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Orthopedic Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.