Active NPI
Shelby M Davis-Stuart, DPT
- Physical Therapist
- Wichita, KS
National Provider Identifier
1407533250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-07369
- Practice address
- 12627 E Central Ave Ste 308
Wichita, KS 67206-2839 - Phone
- (316) 260-3311
- Fax
- (316) 260-6696
- NPI assigned
- Jul 3, 2023
- Last updated
- Mar 6, 2026
- 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 | 11-07369 | KS | Primary |
Addresses
Primary practice location
12627 E Central Ave Ste 308
Wichita, KS 67206-2839
Mailing address
200 Anderson
Andale, KS 67001-7003
Other names 1
- Shelby M Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12627 E Central Ave
Suite 308
Wichita, KS 67206-2839
Phone (316) 260-3311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-07369 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Surgical LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Physical Therapy by Phoenix
- Physical Therapy Clinic/Center
- Wichita, KS
- NPI 1487287082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1407533250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ANDERSON",
"city": "ANDALE",
"state": "KS",
"postal_code": "670017003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12627 E CENTRAL AVE STE 308",
"city": "WICHITA",
"state": "KS",
"postal_code": "672062839",
"telephone_number": "316-260-3311",
"fax_number": "316-260-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS-STUART",
"first_name": "SHELBY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-07369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELBY",
"last_name": "DAVIS",
"middle_name": "M",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.