KRISTIN SHAFFER (PT) – Physical Therapist, NPI 1952374548

KRISTIN SHAFFER (PT) is a healthcare provider. based in Quincy, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070011315 (IL). The NPI Number for KRISTIN SHAFFER (PT) is 1952374548

Main info

Female
28 Years Of Experience
Name
KRISTIN SHAFFER (PT)
NPI
1952374548
Phone
(217) 222-6550
Address
1025 MAINE ST
Enumeration Date
13 February 2006
Last Update Date
12 February 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3195244900
Graduation Year
1998 (28 years ago)
PAC ID
5698855419
Group Practice PAC ID
9133423551
Professional Enrollment ID
I20240625002915
Address ID
IA526325837KE225XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for KRISTIN SHAFFER (PT)

  • 1025, Maine Street, Quincy, Adams County, Illinois, 62301, United States

    QUINCY, IL 623014038

    Phone: (217) 222-6550

    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: 2024-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080107000535IPhysical Therapist In Private PracticeMOTBD
I20240625002915IPhysical Therapist In Private PracticeIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62301)

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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: 9133423551View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What federal number belongs to KRISTIN SHAFFER (PT)?
The federal identifier for KRISTIN SHAFFER (PT) is NPI 1952374548.
Is KRISTIN SHAFFER (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KRISTIN SHAFFER (PT) work in?
You can think of KRISTIN SHAFFER (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place KRISTIN SHAFFER (PT)?
The snapshot lists Quincy, Illinois for KRISTIN SHAFFER (PT); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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