Active NPI
Shane B Hillman
- Physical Therapy Assistant
- Overland Park, KS
National Provider Identifier
1518359629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 15100 Metcalf Ave Ste 102
Overland Park, KS 66223-2899 - Phone
- (913) 681-7628
- NPI assigned
- Feb 26, 2015
- Last updated
- Mar 4, 2022
- Sex
- Male
- 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 Therapy Assistant | 225200000X | NU | Primary |
Addresses
Primary practice location
15100 Metcalf Ave Ste 102
Overland Park, KS 66223-2899
Mailing address
10600 Mastin St # B
Overland Park, KS 66212-5723
Phone (913) 681-0606
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LSCM, LLC | Current | Accepting new patients |
Locations
10600 Mastin St
#B
Overland Park, KS 66212
Phone (913) 269-3232
15100 Metcalf Ave
Ste 102
Stanley, KS 66223
Phone (913) 681-0606
Organizations & group practices 1
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": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1518359629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 MASTIN ST # B",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125723",
"telephone_number": "913-681-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15100 METCALF AVE STE 102",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662232899",
"telephone_number": "913-681-7628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLMAN",
"first_name": "SHANE",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-26",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.