SHELBY SANDERSON (DPT) – Physical Therapist, NPI 1013397934

SHELBY SANDERSON (DPT) is a healthcare provider. based in Prairie village, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 17823 (CO). The NPI Number for SHELBY SANDERSON (DPT) is 1013397934

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY SANDERSON (DPT)
NPI
1013397934
Phone
(913) 789-9900
Address
3965 W 83RD ST
Enumeration Date
5 June 2015
Last Update Date
21 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8668063599
Graduation Year
2015 (11 years ago)
PAC ID
9133430465
Group Practice PAC ID
7517363617
Professional Enrollment ID
I20230309002253
Address ID
CO80246XXXXDEXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for SHELBY SANDERSON (DPT)

  • 3965 W 83RD ST

    PRAIRIE VILLAGE, KS 662085308

    Phone: (913) 789-9900

    Fax: (913) 789-9170

    Type: Mailing

  • 5130 W KEN CARYL AVE

    LITTLETON, CO 801286400

    Phone: (800) 967-4667

    Type: Mailing

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: 2023-03-09

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
I20230309002253IPhysical Therapist In Private PracticeCOTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47151$0
97116Therapy procedure for walking training, each 15 minutes36232$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes34438$0
97530Therapy procedure using functional activities29742$0
97140Therapy procedure using manual technique, each 15 minutes2411$0
View full utilization report →

Insurance plans in this area (ZIP 66208)

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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: 7517363617View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Does SHELBY SANDERSON (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SHELBY SANDERSON (DPT) uses 1013397934.
Is SHELBY SANDERSON (DPT) listed as active for patients and plans?
The listing shows SHELBY SANDERSON (DPT) as active in the NPI system.
What is SHELBY SANDERSON (DPT)'s primary classification?
Physical Therapist is the headline specialty for SHELBY SANDERSON (DPT) here. Clinical services aligned with this taxonomy classification.
What area does SHELBY SANDERSON (DPT) serve?
SHELBY SANDERSON (DPT)'s listing highlights Prairie Village, Kansas; more addresses can appear in NPPES.
Is the information about SHELBY SANDERSON (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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