Individual provider Active NPI

Kris Shevlin, P.T.

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1457457137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 22643 Issued in CA
Practice address
5207 J St
Sacramento, CA 95819-3941
Phone
(916) 457-7171
Fax
(916) 457-7414
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 22643 CA Primary

Addresses

Primary practice location

5207 J St
Sacramento, CA 95819-3941

Mailing address

5207 J St
Sacramento, CA 95819-3941
Phone (916) 457-7171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000751 CA Practitioner - Physical Therapist in Private Practice 5597713057 Practice locations: Folsom, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 22643CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alves & Martinez Physical Therapy and Athletic Performance Physical Therapist PastSince Nov 1, 2011 Accepting new patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist PastSince Feb 18, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457457137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193941",
            "telephone_number": "916-457-7171",
            "fax_number": "916-457-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193941",
            "telephone_number": "916-457-7171",
            "fax_number": "916-457-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVLIN",
        "first_name": "KRIS",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 22643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.