Active NPI
Kelly M Sadler, PT, DPT
- Physical Therapist
- Shelbina, MO
National Provider Identifier
1568979979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2012027748
- Practice address
- 206 E Walnut St Ste B
Shelbina, MO 63468-1324 - Phone
- (573) 588-4165
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- 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 Therapist | 225100000X | 2012027748 | MO | Primary |
Addresses
Primary practice location
206 E Walnut St Ste B
Shelbina, MO 63468-1324
Mailing address
206 E Walnut St Ste B
Shelbina, MO 63468-1324
Phone (573) 588-4165
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012027748 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirksville Missouri Hospital Company, LLC | Past | Accepting new patients | |
| Marion County R-II School District | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northeast Regional Medical Center
- General Acute Care Hospital
- Kirksville, MO
- NPI 1104899442
-
- Local Education Agency (LEA)
- Philadelphia, MO
- NPI 1215497185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1568979979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E WALNUT ST STE B",
"city": "SHELBINA",
"state": "MO",
"postal_code": "634681324",
"telephone_number": "573-588-4165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E WALNUT ST STE B",
"city": "SHELBINA",
"state": "MO",
"postal_code": "634681324",
"telephone_number": "573-588-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADLER",
"first_name": "KELLY",
"middle_name": "M",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2012027748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbina, MO
- Moberly Medical Clinics Inc
- Wendell Allan Nickerson, D.O.
- David F. Ouellette, M.D.
- Barbara B Russell, DDS
- Wesley A Russell II, DDS
- Salt River Nursing Home District (Salt River Community Care)
- Shelbina Pharmacy L L C
- Shelbina Village Estates, Inc
- Shelby County R-IV Schools
- Shelby County Senior Citizens Assocation Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.