Active NPI
Shawn Kavanaugh, PT
- Physical Therapist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11-01192 | Other | KS | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings, Inc. | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current | 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.
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Kansas City, MO
- NPI 1033179510
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Lansing, KS
- NPI 1104336338
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Lenexa, KS
- NPI 1053371898
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
- Physical Therapy Clinic/Center
- Kearney, MO
- NPI 1265188098
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.