Kristin Shaffer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070011315 Issued in IL

Practice address

1025 Maine St
Quincy, IL 62301-4038

Phone

(217) 222-6550

NPI assigned

Feb 13, 2006

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

Enrolled in MO, IA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Advance PT-Blessing Corp Services-Ft Madison Community HospGroup PAC ID 9133423551, 2 clinicians

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 and National Provider Directory roles.

• Advance PT-Blessing Corp Services-Ft Madison Community Hosp

  • Physical Medicine & Rehabilitation Physician
  • Keokuk, IA
  • NPI 1366819021

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advance Hannibal Regional Hospital LLC

  • Physical Therapist
  • Palmyra, MO
  • NPI 1104684703
  Medicare reassignment NPD
• Advance Hannibal Regional Hospital, LLC

  • Physical Therapist
  • Hannibal, MO
  • NPI 1124364138
  NPD

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1952374548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014038",
            "telephone_number": "217-222-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014038",
            "telephone_number": "217-222-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "KRISTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Severs Orthodontics LLC
• Grant Severs, DMD MS
• Christopher Trey Sexton, LCSW
• Laurel Sexton, NP-C
• SH Care, LLC
• Ruchi Shah, MD
• Dale Dawson Shahan, D.D.S.
• Imran Shaikh, MD
• Shamim Amin Dental PLLC
• Shari Jones Physical Therapy Inc

• Physical Therapist in Quincy, IL
• Providers in Quincy, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.