Shelley L Lewis, P.T.
Individual provider Active NPI Physical Therapist · Stilwell, KS
NPI 1265490353 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1265490353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- KS-001816 (KS)
- Practice address
- 5800 W 180TH St
Stilwell, KS 66085-8233 - Phone
- (913) 269-3232
- Fax
- (913) 413-0014
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- LSCM LLC
SLPT LLC
Practice addresses (Care Compare)
10800 Farley St
Suite 130
Overland Park, KS 66210-1418
Phone (913) 681-0606
11036 Oakmont St
Overland Park, KS 66210-1100
Phone (913) 413-0012
15100 Metcalf Ave
Suite 102
Overland Park, KS 66223-2899
Phone (913) 681-7628
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040820000174 | KS | Practitioner - Physical Therapist in Private Practice | 7113999830 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KS-001816 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LSCM, LLC | Physical Therapist | Current |
Accepting new patients |
| SLPT, LLC | Physical Therapist | Current |
Accepting new patients |
| Overland Park Surgical Specialties LLC | Current |
Accepting new patients | |
| College Park Ancillary, LLC | Past | Accepting new patients | |
| Institute of Rehab Health and Fitne | Physical Therapist | Past |
Accepting new patients |
Locations
11164 S Noble Dr
Ste 102
Olathe, KS 66061
Phone (913) 553-2100
11036 Oakmont St
Overland Park, KS 66210
Phone (913) 413-0012
11755 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 469-0503
10600 Mastin St
#B
Overland Park, KS 66212
Phone (913) 269-3232
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
15100 Metcalf Ave
Ste 102
Stanley, KS 66223
Phone (913) 681-0606
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | KS-001816 | KS | Yes |
Addresses
Primary practice location
5800 W 180TH St
Stilwell, KS 66085-8233
Mailing address
5800 W 180TH St
Stilwell, KS 66085-8233
Phone (913) 269-3232
Other providers in Stilwell, KS
- Kinetic Chiropractic LLC
- Yuliana Kirkland
- Vicki Sandra Kofender
- Russell Wade Kohl
- Marsha B Lawrence
- Guy Martinat
- Hillary M Masters
- Hannah Minich
- Grayson Montgomery
- Lianna Morelli
All providers in Stilwell, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.