Active NPI
Kristy Shanks, PT
- Physical Therapist
- Paducah, KY
National Provider Identifier
1366767733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005597
- Practice address
- 544 Lone Oak Rd
Paducah, KY 42003-4538 - Phone
- (270) 443-6543
- NPI assigned
- Mar 29, 2010
- 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 | 005597 | KY | Primary |
Addresses
Primary practice location
544 Lone Oak Rd
Paducah, KY 42003-4538
Mailing address
84 Timberpath LN
Gilbertsville, KY 42044-8846
Phone (419) 296-3382
Other practice location 1
501 N 3rd St
Paducah, KY 42001-0749
Phone (270) 444-9661
Other practice location 2
225 Medical Center Dr Ste 203
Paducah, KY 42003-7907
Phone (270) 415-3600
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 |
|---|---|---|---|
| 005597 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716681600000",
"number": "1366767733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 TIMBERPATH LN",
"city": "GILBERTSVILLE",
"state": "KY",
"postal_code": "420448846",
"telephone_number": "419-296-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 LONE OAK RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034538",
"telephone_number": "270-443-6543"
}
],
"practiceLocations": [
{
"address_1": "501 N 3rd St",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420010749",
"country_code": "US",
"telephone_number": "270-444-9661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Medical Center Dr Ste 203",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420037907",
"country_code": "US",
"telephone_number": "270-415-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANKS",
"first_name": "KRISTY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2024-05-26",
"certification_date": "2024-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.