Individual provider Active NPI

Shelby Well, PT, DPT

  • Physical Therapist
  • Vandalia, IL
National Provider Identifier
1245037704
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-028987 Issued in IL
Practice address
126 S 1St St
Vandalia, IL 62471-2803
Phone
(618) 283-1634
Fax
(618) 283-0423
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 070-028987 IL Primary

Addresses

Primary practice location

126 S 1St St
Vandalia, IL 62471-2803

Mailing address

126 S 1St St
Vandalia, IL 62471-2803
Phone (618) 283-1634

Other names 1

  • Shelby Nicole Stone Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312001577 IL Practitioner - Physical Therapist in Private Practice 1153842653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transforming Physical Therapy LTDGroup PAC ID 4587142393, 3 clinicians

Practice addresses (Care Compare)

126 S 1St St
Vandalia, IL 62471-2803
Phone (618) 283-1634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-028987ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transforming Physical Therapy LTD Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

620 E City Route 40
Greenville, IL 62246
Phone (618) 283-1634

126 S 1st St
Vandalia, IL 62471
Phone (618) 283-1634

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1245037704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S 1ST ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624712803",
            "telephone_number": "618-283-1634",
            "fax_number": "618-283-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S 1ST ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624712803",
            "telephone_number": "618-283-1634",
            "fax_number": "618-283-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELL",
        "first_name": "SHELBY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-028987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "STONE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vandalia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.