Organization Active NPI

Sis Therapy

Doing business as SiS Therapy LLC

  • Speech-Language Pathologist
  • Pratt, KS
National Provider Identifier
1326833195
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SIS THERAPY
Doing business as
SiS Therapy LLC
Practice address
720 Myrtle St
Pratt, KS 67124-3505
Phone
(620) 450-6607
NPI assigned
Apr 11, 2025
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Shelby Starks, SLPNPI 1780160952
Title
SLP and Owner
Phone
(316) 215-4943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

720 Myrtle St
Pratt, KS 67124-3505

Mailing address

720 Myrtle St
Pratt, KS 67124-3505
Phone (620) 450-6607

Other practice location 1

70240 S 336 Rd
Wagoner, OK 74467-8642
Phone (620) 450-6607

Other names 1

  • SiS Therapy LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250429000131 OK Part B Supplier - Clinic/Group Practice 0143746685 Receives reassigned benefits from 1 practitioner
Practice locations: Wagoner, OK
O20250731001273 KS Part B Supplier - Clinic/Group Practice 0143746685 Receives reassigned benefits from 1 practitioner
Practice locations: Pratt, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1326833195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MYRTLE ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243505",
            "telephone_number": "620-450-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MYRTLE ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243505",
            "telephone_number": "620-450-6607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70240 S 336 Rd",
            "address_purpose": "LOCATION",
            "city": "Wagoner",
            "state": "OK",
            "postal_code": "744678642",
            "country_code": "US",
            "telephone_number": "620-450-6607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-09-02",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "SLP AND OWNER",
        "authorized_official_telephone_number": "316-215-4943",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SiS Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pratt, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.