MR. SCOTT PATRICK SHELTON (PT, DPT) – Pediatric Rehabilitation Medicine Physician, NPI 1003463233

MR. SCOTT PATRICK SHELTON (PT, DPT) is a healthcare provider. based in Olympia, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 60976955 (WA). The NPI Number for MR. SCOTT PATRICK SHELTON (PT, DPT) is 1003463233

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. SCOTT PATRICK SHELTON (PT, DPT)
NPI
1003463233
Phone
(808) 218-4802
Address
1722 22ND AVE SE
Enumeration Date
22 August 2019
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
3274060330
Group Practice PAC ID
2365339348
Professional Enrollment ID
I20241231002295
Address ID
WA985021049OL2102XBXXX500

Contacts

Secure Messaging
sshelton@pugetsound.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for MR. SCOTT PATRICK SHELTON (PT, DPT)

  • 1722, 22nd Avenue Southeast, Olympia, Thurston County, Washington, 98501, United States

    OLYMPIA, WA 985013022

    Phone: (808) 218-4802

    Type: Mailing

  • 111, Bethel Street Northeast, Olympia, Thurston County, Washington, 98506, United States

    OLYMPIA, WA 985064365

    Phone: (360) 596-7532

    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: 2024-12-31

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
I20241231002295IPhysical Therapist In Private PracticeWATBD

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 98501)

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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: 2365339348View full group profile
NameSpecialtyState
-AZ
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeNJ
-AL
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Can I verify MR. SCOTT PATRICK SHELTON (PT, DPT) with an NPI only?
You can start verification with NPI 1003463233 for MR. SCOTT PATRICK SHELTON (PT, DPT), then check state licensing separately.
Is MR. SCOTT PATRICK SHELTON (PT, DPT) still practicing?
MR. SCOTT PATRICK SHELTON (PT, DPT) is currently listed as active in the public NPI registry.
What taxonomy line describes MR. SCOTT PATRICK SHELTON (PT, DPT)?
For research purposes, treat MR. SCOTT PATRICK SHELTON (PT, DPT) as Pediatric Rehabilitation Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. SCOTT PATRICK SHELTON (PT, DPT) on a map?
Expect Olympia, Washington as a primary anchor for MR. SCOTT PATRICK SHELTON (PT, DPT) unless the record lists multiple sites.
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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