KELLIE M SHURDEN (P.T.) – Physical Therapist, NPI 1568454593

KELLIE M SHURDEN (P.T.) is a healthcare provider. based in Akron, Ohio. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. 09650 (OH). The NPI Number for KELLIE M SHURDEN (P.T.) is 1568454593

Main info

Female
Name
KELLIE M SHURDEN (P.T.)
NPI
1568454593
Phone
(330) 752-4370
Address
1670 AKRON PENINSULA RD
Enumeration Date
16 August 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KELLIE M SHURDEN (P.T.)

  • 1670, Akron Peninsula Road, Waters Edge, Merriman Valley, Cuyahoga Falls, Summit County, Ohio, 44313, United States

    SUITE 201

    AKRON, OH 443137944

    Phone: (330) 752-4370

    Fax: (866) 851-8273

    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: 2020-05-26

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
I20200526000638IPhysical Therapist In Private PracticeNCTBD

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 44313)

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Reviews

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Frequently asked questions

What is the standard ID for KELLIE M SHURDEN (P.T.) in the U.S.?
In the U.S., KELLIE M SHURDEN (P.T.) is identified by NPI 1568454593.
Is KELLIE M SHURDEN (P.T.) currently accepting referrals based on NPI status?
Registry metadata lists KELLIE M SHURDEN (P.T.) as active.
What type of care does KELLIE M SHURDEN (P.T.) provide?
KELLIE M SHURDEN (P.T.)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to KELLIE M SHURDEN (P.T.)?
The directory associates KELLIE M SHURDEN (P.T.) with Akron, Ohio. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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