KEAGAN SCOTT SHILLINGTON (DPT) – Physical Therapist, NPI 1083249197

KEAGAN SCOTT SHILLINGTON (DPT) is a healthcare provider. based in Rathdrum, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT-6584 (ID). The NPI Number for KEAGAN SCOTT SHILLINGTON (DPT) is 1083249197

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
KEAGAN SCOTT SHILLINGTON (DPT)
NPI
1083249197
Phone
(208) 687-9240
Address
14775 N KIMO CT STE A
Enumeration Date
9 March 2020
Last Update Date
9 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
2087623332
Graduation Year
2019 (7 years ago)
PAC ID
9739518382
Group Practice PAC ID
4981592938
Professional Enrollment ID
I20200401003212
Address ID
ID838358700HA1172XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

Provider Addresses for KEAGAN SCOTT SHILLINGTON (DPT)

  • 14775 N KIMO CT STE A

    RATHDRUM, ID 838588762

    Phone: (208) 687-9240

    Fax: (208) 687-9241

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200401003212IPhysical Therapist In Private PracticeIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities63363$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes52665$0
97140Therapy procedure using manual technique, each 15 minutes33457$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes21745$0
97162Evaluation for physical therapy, typically 30 minutes3736$0
View full utilization report →

Insurance plans in this area (ZIP 83858)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981592938View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Registered Dietitian Or Nutrition ProfessionalID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID

Reviews

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Frequently asked questions

How is KEAGAN SCOTT SHILLINGTON (DPT) identified in CMS data?
CMS-hosted NPPES data lists KEAGAN SCOTT SHILLINGTON (DPT) with NPI 1083249197.
Does CMS list KEAGAN SCOTT SHILLINGTON (DPT) as active?
Yes — KEAGAN SCOTT SHILLINGTON (DPT) is active in the NPI listing used on this page.
What is KEAGAN SCOTT SHILLINGTON (DPT)'s primary classification?
Physical Therapist is the headline specialty for KEAGAN SCOTT SHILLINGTON (DPT) here. Clinical services aligned with this taxonomy classification.
What area does KEAGAN SCOTT SHILLINGTON (DPT) serve?
KEAGAN SCOTT SHILLINGTON (DPT)'s listing highlights Rathdrum, Idaho; more addresses can appear in NPPES.
Is the information about KEAGAN SCOTT SHILLINGTON (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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