ASA MONTANA SHAFFER (PT, DPT, OCS) – Orthopedic Physical Therapist, NPI 1679953780
Orthopedic Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO
Provider Addresses for ASA MONTANA SHAFFER (PT, DPT, OCS)
509 S Broadway
Oak Grove, MO 640759627
Phone: (816) 625-4967
Fax: (816) 625-8376
Type: Location
8823 PRODUCTION LN
OOLTEWAH, TN 373636511
Phone: (423) 238-7217
Fax: (423) 238-3473
Type: Mailing
509 S BROADWAY
OAK GROVE, MO 640759627
Phone: (816) 625-4967
Fax: (816) 625-8376
Type: Location
3605 AUSTIN BLUFFS PKWY
COLORADO SPRINGS, CO 809186630
Phone: (719) 265-6601
Fax: (719) 265-6649
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: 2025-10-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150903002966 | I | Physical Therapist In Private Practice | MO | TBD |
| I20251031001410 | I | Physical Therapist In Private Practice | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 580 | 54 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 565 | 58 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 501 | 50 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 471 | 48 | $0 |
| 97150 | Therapy procedure in a group setting | 50 | 11 | $0 |
Insurance plans in this area (ZIP 64075)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | MO | 97001 | Physical therapy evaluation | 48 | 46 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Sports Medicine, Orthopedic Surgery | CO | |
| - | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| - | GA | |
| Physician Assistant | CO | |
| - | CO | |
| - | CO |
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