Individual provider Active NPI

Shelby Henke, PT, DPT

  • Physical Therapist
  • Eudora, KS
National Provider Identifier
1497631667
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06746 Issued in KS
Practice address
1415 Maple St
Eudora, KS 66025-9419
Phone
(785) 542-2176
NPI assigned
Aug 13, 2025
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 11-06746 KS Primary

Addresses

Primary practice location

1415 Maple St
Eudora, KS 66025-9419

Mailing address

2405 Haversham Dr
Lawrence, KS 66049-1677
Phone (785) 418-9380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918004027 KS Practitioner - Physical Therapist in Private Practice 6901300276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Rehabilitation IncGroup PAC ID 9638086432, 59 clinicians

Practice addresses (Care Compare)

1216 Biltmore Dr
Lawrence, KS 66049-1995
Phone (615) 896-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-06746KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Rehabilitation, Inc Current Accepting new patients
Key Rehabilitation Inc CurrentSince Aug 10, 2025 Accepting new patients
Key Rehabilitation, Inc CurrentSince Aug 10, 2025 Accepting new patients

Locations

1415 Maple St
Eudora, KS 66025
Phone (785) 542-2176

1216 Biltmore Dr
Lawrence, KS 66049
Phone (785) 856-7900

2020 N Tyler Rd
Wichita, KS 67212
Phone (316) 295-4591

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1497631667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 HAVERSHAM DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491677",
            "telephone_number": "785-418-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAPLE ST",
            "city": "EUDORA",
            "state": "KS",
            "postal_code": "660259419",
            "telephone_number": "785-542-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKE",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eudora, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.

Verify at the official NPI Registry.