Individual provider Active NPI

Shelby Lyn Verhage, PT

  • Physical Therapist
  • South Bend, IN
National Provider Identifier
1629511779
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017998 Issued in MI
Practice address
3510 Portage Rd
South Bend, IN 46628-6091
Phone
(574) 203-9527
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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 5501017998 MI Primary

Addresses

Primary practice location

3510 Portage Rd
South Bend, IN 46628-6091

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

24466 Red Arrow Hwy
Suite D
Mattawan, MI 49071-9804
Phone (269) 462-6431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, MD, MA, PA, SC, IL7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20161128000601 MI Practitioner - Physical Therapist in Private Practice 4981983418 Reassigns benefits to 1 organization
I20240911000566 IN Practitioner - Physical Therapist in Private Practice 4981983418 Reassigns benefits to 1 organization
I20250403000822 MD Practitioner - Physical Therapist in Private Practice 4981983418 Reassigns benefits to 2 organizations
I20250403003416 MA Practitioner - Physical Therapist in Private Practice 4981983418 Reassigns benefits to 1 organization
I20250513000144 PA Practitioner - Physical Therapist in Private Practice 4981983418 Reassigns benefits to 1 organization
I20250926003622 SC Practitioner - Physical Therapist in Private Practice 4981983418 Reassigns benefits to 2 organizations
I20260609000585 IL Practitioner - Physical Therapist in Private Practice 4981983418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

101 University Dr
Suite A6
Amherst, MA 01002-2385
Phone (413) 336-5703

14 McGrath Hwy
Unit 5
Somerville, MA 02143-4505
Phone (617) 284-9418

1941 Savage Rd
Suite 300a
Charleston, SC 29407-4790
Phone (843) 402-1495

200 Patewood Dr
Suite C250
Greenville, SC 29615-3593
Phone (864) 454-0952

3510 Portage Rd
South Bend, IN 46628-6091
Phone (574) 203-9527

7820 Wormans Mill Rd C
Ati Physical Therapy
Frederick, MD 21701-3037
Phone (240) 831-7664

826 E Baltimore Pike
Unit 9
Kennett Square, PA 19348-1870
Phone (610) 335-1410

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30324MDMDClinical Social Worker
12936SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 4, 2025 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jul 7, 2025 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Mar 4, 2025 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Mar 4, 2025 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Mar 7, 2025 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Current Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 4, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Mar 7, 2025 Accepting new patients

Locations (25 of 27)

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

33299 Collection Ctr Dr
Chicago, IL 60693

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1883 S US Highway 231
Crawfordsville, IN 47933
Phone (765) 225-2210

5620 Michigan Rd
#A
Indianapolis, IN 46228
Phone (317) 454-8593

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

3510 Portage Rd
South Bend, IN 46628
Phone (574) 203-9527

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

1 Kendall Sq
Ste B14104
Cambridge, MA 02139
Phone (617) 491-0264

14 McGrath Hwy
Unit 5
Somerville, MA 02143
Phone (617) 284-9418

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

7820 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (240) 831-7664

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

2036 E Beltline Ave NE
Ste A
Grand Rapids, MI 49525
Phone (616) 885-1194

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

826 E Baltimore Pike
Unit 9
Kennett Square, PA 19348
Phone (610) 335-1410

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1629511779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 PORTAGE RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466286091",
            "telephone_number": "574-203-9527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24466 Red Arrow Hwy",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Mattawan",
            "state": "MI",
            "postal_code": "490719804",
            "country_code": "US",
            "telephone_number": "269-462-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERHAGE",
        "first_name": "SHELBY",
        "middle_name": "LYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.