Individual provider Active NPI

Shawn Kavanaugh, PT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1871602441
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4001 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone
(913) 385-0075
Fax
(913) 385-0076
NPI assigned
Aug 29, 2006
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 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 Primary

Addresses

Primary practice location

4001 Indian Creek Pkwy
Overland Park, KS 66207-4030

Mailing address

4913 Lone Elm
Shawnee, KS 66226-2417
Phone (913) 406-3869

Other practice location 1

5506 Corporate Dr Ste 1800
Saint Joseph, MO 64507-7765
Phone (816) 232-9420

Other identifiers 1

IdentifierTypeStateIssuer
11-01192OtherKSLICENSE#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140314000301 KS Practitioner - Physical Therapist in Private Practice 3072744069 Reassigns benefits to 1 organization
I20220712001052 MO Practitioner - Physical Therapist in Private Practice 3072744069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

15325 Old Town Dr
Suite 103
Parkville, MO 64152-2523
Phone (816) 897-2580

741 Watson Dr
Suite Bandc
Kearney, MO 64060-4500
Phone (816) 551-3370

8250 N Church Rd
Suite B
Kansas City, MO 64158-1103
Phone (816) 792-0524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Dec 16, 2013 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Dec 16, 2013 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Jun 1, 2022 Accepting new patients

Locations

7860 Quivira Rd
Lenexa, KS 66216
Phone (913) 962-8300

5922 Barkley St
Mission, KS 66202
Phone (913) 229-9440

10351 Barkley St
Overland Park, KS 66212
Phone (855) 749-7461

4001 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 385-0075

200 N Keene St
Columbia, MO 65201
Phone (573) 874-0001

Organizations & group practices 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1871602441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 LONE ELM",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662262417",
            "telephone_number": "913-406-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 INDIAN CREEK PKWY",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074030",
            "telephone_number": "913-385-0075",
            "fax_number": "913-385-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5506 Corporate Dr Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645077765",
            "country_code": "US",
            "telephone_number": "816-232-9420",
            "fax_number": "816-232-9853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "SHAWN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "11-01192",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.