Victoria Shatto

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

116890 Issued in MO

Practice address

500 NW Murray Rd
Lees Summit, MO 64081-1455

Phone

(816) 347-2738

Fax

(816) 246-1026

NPI assigned

Jan 18, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• John Knox Village

  • Physical Therapy Clinic/Center
  • Lees Summit, MO
  • NPI 1609573922
  NPD

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1922869809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW MURRAY RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811455",
            "telephone_number": "816-347-2738",
            "fax_number": "816-246-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW MURRAY RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811455",
            "telephone_number": "816-347-2738",
            "fax_number": "816-246-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATTO",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "116890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Nicole Shanks, MS, PLPC, NCC
• Sharen Kauzlarich DC, PC
• Sharp Medical Equipment Inc
• Danielle Sharp, DPT, PT
• Kathryn Anne Sharp, LCSW
• Kristi Shaumeyer, MD
• Carly Shaw, APRN
• Kristin Joy Shaw
• Shawnee Mission Medical Center, Inc.
• Mekenna Shea

• Physical Therapy Assistant in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.