Individual provider Active NPI

Shelby McIntire Oleis, PT, DPT

  • Physical Therapist
  • Murfreesboro, TN
National Provider Identifier
1710457650
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11847 Issued in TN
Practice address
2208 E Main St
Murfreesboro, TN 37130-5800
Phone
(615) 809-2632
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 11847 TN Primary

Addresses

Primary practice location

2208 E Main St
Murfreesboro, TN 37130-5800

Mailing address

2208 E Main St
Murfreesboro, TN 37130-5800
Phone (615) 809-2632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017002772 TN Practitioner - Physical Therapist in Private Practice 5092181032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Special Kids Inc Physical Therapist CurrentSince Aug 24, 2022 Accepting new patients
SK Therapy Associates, Inc. Physical Therapist PastSince Jun 1, 2021 Accepting new patients

Locations

2208 E Main St
Murfreesboro, TN 37130
Phone (615) 809-2632

2132 E Main St
Murfreesboro, TN 37130
Phone (615) 809-2632

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1710457650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 E MAIN ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305800",
            "telephone_number": "615-809-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 E MAIN ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305800",
            "telephone_number": "615-809-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEIS",
        "first_name": "SHELBY",
        "middle_name": "MCINTIRE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.