NPIMap

Organization Active NPI

Spine and Sport Physical Therapy and Rehab Specialists LLC

  • Physical Therapist
  • Saint Joseph, MO
National Provider Identifier
1356540165
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPINE AND SPORT PHYSICAL THERAPY AND REHAB SPECIALISTS LLC
Practice address
1213 N Belt Hwy Ste H
Saint Joseph, MO 64506-2485
Phone
(816) 279-7778
Fax
(816) 279-8788
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
William Frederick Shonkwiler, MPTNPI 1689605636
Title
Owner
Phone
(816) 279-7778

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1213 N Belt Hwy Ste H
Saint Joseph, MO 64506-2485

Mailing address

1213 N Belt Hwy Ste H
Saint Joseph, MO 64506-2485
Phone (816) 279-7778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070808000274 MO Part B Supplier - Clinic/Group Practice 6709977564 Receives reassigned benefits from 6 practitioners
Practice locations: St Joseph, MO

National Provider Directory

National Provider Directory

Locations

1311 N Belt Hwy
Ste Ab
Saint Joseph, MO 64506
Phone (816) 279-8788

1311 N Belt Hwy
Ste A
Saint Joseph, MO 64506

1213 N Belt Hwy
Ste H
Saint Joseph, MO 64506
Phone (816) 279-7778

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1356540165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 N BELT HWY STE H",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062485",
            "telephone_number": "816-279-7778",
            "fax_number": "816-279-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 N BELT HWY STE H",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062485",
            "telephone_number": "816-279-7778",
            "fax_number": "816-279-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND SPORT PHYSICAL THERAPY AND REHAB SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SHONKWILER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-279-7778",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.