Shelby Landrum, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11421 Issued in SC

Practice address

1585 3Rd St
Fort Johnson, LA 71459-5102

Phone

(337) 531-3207

NPI assigned

Dec 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1669184487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 DURWIN WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297212",
            "telephone_number": "706-818-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT JOHNSON",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-3207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 Durwin Way",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292297212",
            "country_code": "US",
            "telephone_number": "706-818-5633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "SHELBY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Anniece Jackson, CRNA
• Kelly Nichole Jenkins, LCSW
• Caleb O Johnson, DPT
• Quinne Johnson, OTR/L, OTD
• Lillian Rozanski Keppinger, RD
• Laura London
• Joseph Lowery
• Marco I Mirnics, DPT
• Zhenhai Niu
• Taylor Christopher Osborne

• Physical Therapist in Fort Johnson, LA
• Providers in Fort Johnson, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.