Kellie M Shurden, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09650 Issued in OH

Practice address

1670 Akron Peninsula Rd
Suite 201
Akron, OH 44313-7944

Phone

(330) 752-4370

Fax

(330) 475-0504

NPI assigned

Aug 16, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advantage OT Inc.

  dba Advantage Therapy & Rehabilitation

  • Occupational Therapist
  • Beulaville, NC
  • NPI 1962717025

  Physical Therapist

  Medicare reassignment NPD
• Motor-Vations Therapy Services, Inc.

  • Physical Therapist
  • Medina, OH
  • NPI 1316920366
  NPD (past) Authorized official
• Motor-Vations Therapy Services, Inc.

  • Physical Therapist
  • Akron, OH
  • NPI 1417930462
  NPD (past) Authorized official
• Advantage OT, PC

  dba Advantage Durable Medical Equipment

  • Occupational Therapist
  • Beulaville, NC
  • NPI 1497282479
  NPD
• Cowboys and Angels Therapy Inc.

  • Occupational Therapist
  • Medina, OH
  • NPI 1588647531

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568454593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 AKRON PENINSULA RD",
            "address_2": "SUITE 201",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137944",
            "telephone_number": "330-752-4370",
            "fax_number": "866-851-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 AKRON PENINSULA RD",
            "address_2": "SUITE 201",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137944",
            "telephone_number": "330-752-4370",
            "fax_number": "330-475-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURDEN",
        "first_name": "KELLIE",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "09650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2384683",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic Shultis
• Alexis Nicole Shultz, PT, DPT
• Shawn Kevin Shumard, RN
• Kaylie Christine Shumway
• Nicholas Philip Shundry, M.D.
• Cheryl Ann Shuttleworth, LICDC
• Kateka R Shy
• Airrisha Annette Sibley
• Kayvion Sibley
• Lacresa Sibley

• Physical Therapist in Akron, OH
• Providers in Akron, OH by specialty
• Physical Therapist in Ohio

• 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.