SHELLY R SOMERS (PT, DPT) – Physical Therapist, NPI 1043658172

SHELLY R SOMERS (PT, DPT) is a healthcare provider. based in Appleton, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 12261-24 (WI). The NPI Number for SHELLY R SOMERS (PT, DPT) is 1043658172

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY R SOMERS (PT, DPT)
NPI
1043658172
Phone
(920) 730-8833
Address
2323 N CASALOMA DR
Enumeration Date
11 June 2013
Last Update Date
11 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207308833
Graduation Year
2013 (13 years ago)
PAC ID
3678982717
Group Practice PAC ID
6901884337
Professional Enrollment ID
I20210503000387
Address ID
WI549138284AP2323XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for SHELLY R SOMERS (PT, DPT)

  • 2323 N CASALOMA DR

    APPLETON, WI 549138284

    Phone: (920) 730-8833

    Mailing address matches the actual address.

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: 2021-05-03

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
I20210503000387IPhysical Therapist In Private PracticeWITBD

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 minutes17321$0
97140Therapy procedure using manual technique, each 15 minutes8315$0
97163Evaluation for physical therapy, typically 45 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 54913)

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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: 6901884337View full group profile
NameSpecialtyState
Hand SurgeryNV
Hand Surgery, Orthopedic SurgeryCO
Occupational Therapist In Private PracticeWI
Occupational Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Hand SurgeryNC
Occupational Therapist In Private PracticeWI
Hand SurgeryWI
Occupational Therapist In Private PracticeWI
Occupational Therapist In Private PracticeWI

Reviews

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Frequently asked questions

What is the standard ID for SHELLY R SOMERS (PT, DPT) in the U.S.?
In the U.S., SHELLY R SOMERS (PT, DPT) is identified by NPI 1043658172.
Should I treat SHELLY R SOMERS (PT, DPT) as an active provider?
Patients and plans typically see SHELLY R SOMERS (PT, DPT) as active in the national extract.
What services align with SHELLY R SOMERS (PT, DPT)'s listing?
SHELLY R SOMERS (PT, DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit SHELLY R SOMERS (PT, DPT) in Appleton, Wisconsin?
For routing, start with Appleton, Wisconsin for SHELLY R SOMERS (PT, DPT), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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