Active NPI
Kahlin Shandley, PT, DPT
- Physical Therapist
- Milwaukee, WI
National Provider Identifier
1336770080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13989-24
- Practice address
- 945 N 12TH St FL 4
Milwaukee, WI 53233-1305 - Phone
- (414) 219-3048
- Fax
- (414) 219-7731
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13989-24 | WI | Primary |
Addresses
Primary practice location
945 N 12TH St FL 4
Milwaukee, WI 53233-1305
Mailing address
13615 Kelton CT
New Berlin, WI 53151-8752
Phone (414) 534-4737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13989-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1336770080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13615 KELTON CT",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531518752",
"telephone_number": "414-534-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 N 12TH ST FL 4",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532331305",
"telephone_number": "414-219-3048",
"fax_number": "414-219-7731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANDLEY",
"first_name": "KAHLIN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13989-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.