Individual provider Active NPI

Kristy Shanks, PT

  • Physical Therapist
  • Paducah, KY
National Provider Identifier
1366767733
Registry record updated May 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005597 Issued in KY
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

Updated by the provider on May 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
005597KYMDPhysical 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.

Verify at the official NPI Registry.