Kendra Leanne Shull

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2009023139 Issued in MO

Practice address

2323A High School Dr
Special Services - Claim Care
Lexington, MO 64067-1525

Phone

(660) 259-4369

Fax

(660) 259-4992

NPI assigned

Jul 10, 2012

Last updated

Jul 10, 2012By the provider in NPPES

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

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Foundations Therapy LLC

  • Physical Therapist
  • Lexington, MO
  • NPI 1699232165
  Medicare reassignment NPD
• Lexington School Dixt RV

  • Local Education Agency (LEA)
  • Lexington, MO
  • NPI 1275678823

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1740545367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323A HIGH SCHOOL DR",
            "address_2": "SPECIAL SERVICES - CLAIM CARE",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671525",
            "telephone_number": "660-259-4369",
            "fax_number": "660-259-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323A HIGH SCHOOL DR",
            "address_2": "SPECIAL SERVICES - CLAIM CARE",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671525",
            "telephone_number": "660-259-4369",
            "fax_number": "660-259-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULL",
        "first_name": "KENDRA",
        "middle_name": "LEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009023139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverbend Heights Health & Rehabilitation LLC
• Samuel U. Rodgers Health Center, Inc (Samuel U. Rodgers Health Center Lexington High School)
• Samuel U. Rodgers Health Center, Inc. (Rodgers Lafayette Dental and Health)
• Jeffrey W Sattler, D.O.
• Mary Beth Schnell, NP
• Dena M Skinner, PTA
• Theresa Slana, OTR
• Adeane Sollars
• SRZ Op Riverbend LLC (Riverbend Heights Health & Rehabilitation)
• Margaret A. Stockton, FNP

• Physical Therapist in Lexington, MO
• Providers in Lexington, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.