Kristi Amber Shanahan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3171576 Issued in ID

Practice address

1263 Bennett Ave Ste 2
Burley, ID 83318-4906

Phone

(086) 781-1911

Fax

(208) 678-1214

NPI assigned

Aug 26, 2025

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.

• Burley Physical Therapy and Rehabilitation

  • Physical Therapy Clinic/Center
  • Burley, ID
  • NPI 1669530051
  NPD (past)

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1942188958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 BENNETT AVE STE 2",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833184906",
            "telephone_number": "086-781-1911",
            "fax_number": "208-678-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 BENNETT AVE STE 2",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833184906",
            "telephone_number": "086-781-1911",
            "fax_number": "208-678-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "KRISTI",
        "middle_name": "AMBER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "3171576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bret R. Seamons, O.D.
• Samantha S Searle
• Seasons Dental
• Serr Chiropractic PLLC
• Scott Max Serr, D.C.
• Marizza Shoup
• Simply Hope Family Outreach Inc
• Norman D. Sinclair, M.S.
• Smiles 4 Kids Burley
• Daelynn Jo Smith, FNP

• Physical Therapist in Burley, ID
• Providers in Burley, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.