SHAWN KAVANAUGH – Physical Therapist, NPI 1871602441

SHAWN KAVANAUGH is a healthcare provider. based in Shawnee, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for SHAWN KAVANAUGH is 1871602441

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN KAVANAUGH
NPI
1871602441
Phone
(913) 322-2066
Address
4913 LONE ELM
Enumeration Date
29 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9137580283
Graduation Year
1985 (41 years ago)
PAC ID
3072744069
Group Practice PAC ID
9537076401
Professional Enrollment ID
I20140314000301
Address ID
KS660431610LA100XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

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Provider Addresses for SHAWN KAVANAUGH

  • 4913, Lone Elm Street, Hillcrest Farm, Chouteau, Shawnee, Johnson County, Kansas, 66226, United States

    SHAWNEE, KS 662262417

    Phone: (913) 322-2066

    Type: Mailing

  • 7860, Quivira Road, Lenexa, Johnson County, Kansas, 66216, United States

    LENEXA, KS 662163322

    Phone: (913) 962-8300

    Type: Location

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: 2022-07-12

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
I20140314000301IPhysical Therapist In Private PracticeKSTBD
I20220712001052IPhysical Therapist In Private PracticeMOTBD

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 66226)

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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: 9537076401View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNC
Physician AssistantNC
Internal MedicineSC
Orthopedic SurgeryMO
-CA
Physical Therapist In Private PracticeMD
Physician AssistantNC
Internal MedicineTN
Nurse PractitionerAR
-CO

Reviews

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Frequently asked questions

Where can patients find SHAWN KAVANAUGH's NPI?
You can confirm SHAWN KAVANAUGH with NPI 1871602441; it appears in the national provider directory.
Is SHAWN KAVANAUGH's NPI currently valid?
The extract we use shows SHAWN KAVANAUGH as active.
What kind of provider is SHAWN KAVANAUGH?
The page reflects Physical Therapist for SHAWN KAVANAUGH. Clinical services aligned with this taxonomy classification.
What location shows for SHAWN KAVANAUGH?
We surface Shawnee, Kansas for SHAWN KAVANAUGH based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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