Individual provider Active NPI

Shaquita Kelly

  • Chiropractor
  • Temple, TX
National Provider Identifier
1659173094
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16257 Issued in TX
Practice address
61 N Kegley Rd
Temple, TX 76502-4067
Phone
(254) 899-2225
NPI assigned
Mar 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16257 TX Primary

Addresses

Primary practice location

61 N Kegley Rd
Temple, TX 76502-4067

Mailing address

336 Oakhurst Scenic Dr Apt 2462
Fort Worth, TX 76111-2087
Phone (318) 418-4415

Other practice location 1

531 Town Center Loop
Jarrell, TX 76537-4014
Phone (214) 771-6856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022000284 TX Practitioner - Chiropractic 7911495999 Reassigns benefits to 1 organization
Practice locations: Temple, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Injury Treatment Services PLLCGroup PAC ID 6406086032, 22 clinicians

Practice addresses (Care Compare)

1602 W Ave a
Suite B
Temple, TX 76504-4080
Phone (254) 899-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16257TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Injury Treatment Services PLLC CurrentSince Aug 10, 2025 Accepting new patients

Locations

539 Town Center Loop
Jarrell, TX 76537

61 N Kegley Rd
Temple, TX 76502
Phone (254) 899-2225

1602 W Avenue A
Ste B
Temple, TX 76504
Phone (254) 778-6474

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1659173094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 OAKHURST SCENIC DR APT 2462",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112087",
            "telephone_number": "318-418-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N KEGLEY RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765024067",
            "telephone_number": "254-899-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Town Center Loop",
            "address_purpose": "LOCATION",
            "city": "Jarrell",
            "state": "TX",
            "postal_code": "765374014",
            "country_code": "US",
            "telephone_number": "214-771-6856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SHAQUITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.