SHAWN A KING – Orthopedic Physical Therapist, NPI 1366908675

SHAWN A KING is a healthcare provider. based in Creve coeur, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for SHAWN A KING is 1366908675

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN A KING
NPI
1366908675
Phone
Not provided
Address
10362 OLD OLIVE STREET RD APT 212
Enumeration Date
12 February 2019
Last Update Date
12 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3142004903
Graduation Year
2018 (8 years ago)
PAC ID
9739588104
Group Practice PAC ID
2264423458
Professional Enrollment ID
I20210604002163
Address ID
MO631271839SA4590XBLVD403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

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Provider Addresses for SHAWN A KING

  • 10362 OLD OLIVE STREET RD APT 212

    CREVE COEUR, MO 631415936

    Phone:

    Type: Mailing

  • 637, Dunn Road, Hazelwood, Saint Louis County, Missouri, 63042, United States

    HAZELWOOD, MO 630421747

    Phone: (314) 731-4555

    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: 2021-06-04

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
I20210604002163IPhysical 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.

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 minutes86756$0
97530Therapy procedure using functional activities81953$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes54353$0
97140Therapy procedure using manual technique, each 15 minutes46647$0
97016Application of blood vessel compression device14115$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 2264423458View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeKY
-IL
-KY
Physical Therapist In Private PracticeFL
-MO
-ME
Physical Therapist In Private PracticeKY
-FL
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

Can I verify SHAWN A KING with an NPI only?
You can start verification with NPI 1366908675 for SHAWN A KING, then check state licensing separately.
Does the file indicate SHAWN A KING is practicing under active NPI?
Directory data currently reports SHAWN A KING as active.
What is SHAWN A KING's primary classification?
Orthopedic Physical Therapist is the headline specialty for SHAWN A KING here. Clinical services aligned with this taxonomy classification.
What address line appears for SHAWN A KING?
SHAWN A KING's geographic hint is Creve Coeur, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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