John Marshall Shelley IV, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008430 Issued in KY

Practice address

1138 S Highway 27
Somerset, KY 42501-3523

Phone

(606) 677-2006

Fax

(606) 677-1779

NPI assigned

Nov 3, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• PT Pros Inc

  • Physical Therapist
  • Somerset, KY
  • NPI 1588619449
  NPD (past)
• PT Pros, Inc.

  • Physical Therapist
  • Louisville, KY
  • NPI 1184291650
  NPD (past)
• PT Pros, Inc.

  • Physical Therapist
  • Leitchfield, KY
  • NPI 1669965802
  NPD (past)

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1336804475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CORBIN CENTER DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011895",
            "telephone_number": "606-526-2911",
            "fax_number": "606-526-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 S HIGHWAY 27",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013523",
            "telephone_number": "606-677-2006",
            "fax_number": "606-677-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "792 Campbellsville Rd",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "KY",
            "postal_code": "427431460",
            "country_code": "US",
            "telephone_number": "270-973-5400",
            "fax_number": "270-973-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "JOHN",
        "middle_name": "MARSHALL",
        "name_suffix": "IV",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "008430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Shackleford, PHARMD
• Katelyn Shannon, PA-C
• Chelsey Marie Shawen, NP
• Matthew Shea, DO
• Tonya E Shea, DO
• Melinda Shelton
• Rachel Shelton, M.D.
• Tommy Warren Shelton, M.D.
• Gregory J Sherry, M.D.
• Phillip Shibley, M.D.

• Physical Therapist in Somerset, KY
• Providers in Somerset, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.