Shelby Jennings Sailor, PTA
Individual provider Active NPI Physical Therapy Assistant · Riverside, MO
NPI 1487329231 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1487329231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2021029779 (MO)
- Practice address
- 220 NW Platte Valley Dr
Riverside, MO 64150-9793 - Phone
- (816) 741-6374
- Fax
- (816) 505-3312
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021029779 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2021029779 | MO | Yes |
Addresses
Primary practice location
220 NW Platte Valley Dr
Riverside, MO 64150-9793
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other providers in Riverside, MO
- Abigail Hardy Rives
- Josie Deeanna Ross
- Nicholas Adam Rudloff
- Stacey Jo Russell
- Sage Behavioral Health and Wellness LLC
- Serc Rehabilitation Partners, LLC
- Andrew Carl Shore
- Show Me State Infusion Pharmacy
- Sizewise Rentals LLC
- Jessica Smith
All providers in Riverside, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.