SHELBY LEE FAGAN (NPI# 1841850716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841850716 |
| Entity Type | Individual |
| Full Name | SHELBY LEE FAGAN |
| Credential | PT, DPT |
| Practice Address |
3355 Main St Kansas City MO 64111-1904 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-4915 |
| Practice Telephone | 8163990806 |
| Practice Fax Number | 8167437413 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2019027051 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 11-06104 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255529053 | Shelby Fagan | Massage Therapist | 5319 Sw Westgate Dr, Suite 148, Portland, OR 97221-2411 | 2007-10-05 |
| Street Address |
3355 MAIN ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477108710 | Nathaniel Shane Coburn | Physical Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2019-08-05 |
| 1912565094 | Kathryne Suzanne Bever | Physical Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2019-06-03 |
| 1881174514 | Jessica Nguyen | Occupational Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2018-08-21 |
| 1871035683 | Paula Michelle Holm | Occupational Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2016-11-10 |
| 1942657028 | Kara Diane Chapman | Physical Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2016-05-19 |
| 1427466028 | Lauren Abel Trent | Occupational Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2014-07-27 |
| 1891121877 | Serc Rehabilitation Partners, LLC | Clinic/Center | 3355 Main St, Kansas City, MO 64111-1904 | 2013-09-23 |
| 1629403290 | Serc Rehabilitation Partners, LLC | Clinic/Center | 3355 Main St, Kansas City, MO 64111-1904 | 2013-09-13 |
| 1326251422 | Matthew Joseph Oleksy | Physical Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2007-05-07 |
| 1811946015 | Kathleen A Atchison | Occupational Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139778 | Nicole Weaver | Physical Therapist | 5775 Nw 64th Ter Ste 101, Kansas City, MO 64151-3945 | 2020-09-18 |
| 1649883869 | Jena Marie Brophy | Physical Therapist | 2 Emanuel Cleaver II Blvd, Kansas City, MO 64112-1654 | 2020-08-27 |
| 1205445780 | Jordan Barr | Physical Therapist | 1000 E 68th Street, Kansas City, MO 64131 | 2020-07-30 |
| 1689296865 | Bethany Peterson | Physical Therapist | 701 E 63rd St Ste G10, Kansas City, MO 64110-3305 | 2020-05-11 |
| 1821620857 | Max Powers | Physical Therapist | 6311 N Cosby Ave, Kansas City, MO 64151-2344 | 2020-02-07 |
| 1316587884 | Abdalghani A Yahya | Physical Therapist | 4148 Booth Pl Apt 1, Kansas City, KS 66103-3151 | 2020-01-13 |
| 1861033888 | Athletico Ltd | Physical Therapist | 4029 Mill St, Kansas City, MO 64111-3008 | 2019-10-01 |
| 1073161675 | Erica Pruett | Physical Therapist | 601 E 63rd St Ste 230, Kansas City, MO 64110-3303 | 2019-08-28 |
| 1043862329 | Khoa Lam | Physical Therapist | 3514 Jefferson St # St307, Kansas City, MO 64111-2803 | 2019-07-16 |
| 1912464199 | Christie Peterfish | Physical Therapist | 4400 Broadway Ste 408, Kansas City, MO 64111-3342 | 2019-02-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.