Individual provider Active NPI

William Frederick Shonkwiler, PT

  • Physical Therapist
  • Saint Joseph, MO
National Provider Identifier
1689605636
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2002011893 Issued in MO
Practice address
1213 N Belt Hwy Ste H
Saint Joseph, MO 64506-2485
Phone
(816) 279-7778
Fax
(816) 279-8788
NPI assigned
Jul 6, 2006
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 2002011893 MO Primary

Addresses

Primary practice location

1213 N Belt Hwy Ste H
Saint Joseph, MO 64506-2485

Mailing address

1213 N Belt Hwy Ste H
Saint Joseph, MO 64506-2485
Phone (816) 279-7778

Other identifiers 4

IdentifierTypeStateIssuer
487421505MedicaidMO
650024543OtherMORR MEDICARE
P00600064OtherMORAILROAD MEDICARE
10001688300OtherMOCOMMUNITY HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000300 MO Practitioner - Physical Therapist in Private Practice 1052402815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1213 N Belt Hwy H
St Joseph, MO 64506-2411
Phone (816) 279-7778

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
98.61
Improvement activities
40
Cost
70.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002011893MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Sport Physical Therapy and Rehab Specialists LLC Physical Therapist CurrentSince Jul 1, 2007 Accepting new patients
Performance Plus Rehabilitation Center LLC Physical Therapist Past Accepting new patients

Locations

1213 N Belt Hwy
Ste H
Saint Joseph, MO 64506
Phone (816) 279-7778

1311 N Belt Hwy
Ste A
Saint Joseph, MO 64506

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1689605636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 N BELT HWY STE H",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062485",
            "telephone_number": "816-279-7778",
            "fax_number": "816-279-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 N BELT HWY STE H",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062485",
            "telephone_number": "816-279-7778",
            "fax_number": "816-279-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONKWILER",
        "first_name": "WILLIAM",
        "middle_name": "FREDERICK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002011893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "487421505",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "650024543",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00600064",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "10001688300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.