MR. SCOTT PATRICK SHELTON (NPI# 1003463233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003463233 |
| Entity Type | Individual |
| Full Name | MR. SCOTT PATRICK SHELTON |
| Credential | PT, DPT |
| Practice Address |
111 Bethel St Ne Olympia WA 98506-4365 |
| Mailing Address |
1722 22nd Ave Se Olympia WA 98501-3022 |
| Practice Telephone | 3605967532 |
| Mailing Telephone | 8082184802 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
60976955 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PERSONAL | 3738549 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881071728 | Scott Shelton | Chiropractor | 3838 86th Ave Ne, Circle Pines, MN 55014-4055 | 2015-04-29 |
| 1134565682 | Scott Shelton | Family Medicine | 400 Hinckley Blvd Ste 100, Jackson, MI 49203-6152 | 2013-05-10 |
| 1710114962 | Scott Steven Shelton | Podiatrist | 5455 W 11000 N Ste 203, Highland, UT 84003-8802 | 2009-06-15 |
| 1598003873 | Scott Russell Shelton | Counselor | 1601 W Gulf Atlantic Hwy, Wildwood, FL 34785-8158 | 2013-01-22 |
| Street Address |
111 BETHEL ST NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-4365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164414 | Rochelle Lynn Hemperly | Occupational Therapist | 111 Bethel St Ne, Olympia, WA 98506-4365 | 2020-11-06 |
| 1497303275 | Margaret Ellen Brown | Occupational Therapist | 111 Bethel St Ne, Olympia, WA 98506-4365 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410663 | Shelly Marie Kvamme | Physical Medicine & Rehabilitation | 15510 1st Ave Ne, Duvall, WA 98019-6000 | 2019-07-27 |
| 1326177700 | Jessica Ann Matous | Physical Medicine & Rehabilitation | 1010 Washington St Ste 280, Vancouver, WA 98660-3168 | 2007-03-03 |
| 1912092628 | Elizabeth Beck Wilson-fowler | Physical Medicine & Rehabilitation | 1101 8th St Ste B, Anacortes, WA 98221-1800 | 2006-10-04 |
| 1750785317 | Daniel William Kalani Kruse | Physical Medicine & Rehabilitation | 6912 220th St Sw, 200, Mountlake Terrace, WA 98043-2169 | 2014-10-10 |
| 1700205945 | Megan Flanigan | Physical Medicine & Rehabilitation | 311 S L St, Tacoma, WA 98405-4289 | 2014-04-15 |
| 1609213560 | Jaclyn Christine Omura | Physical Medicine & Rehabilitation | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2013-05-31 |
| 1083994958 | Non Surgical Spine & Joint Clinic Ps | Physical Medicine & Rehabilitation | 12 Bellwether Way, Suite 219, Bellingham, WA 98225-2959 | 2011-08-24 |
| 1184870396 | Elaine Y Tsao | Physical Medicine & Rehabilitation | 4800 Sand Point Way Ne, Department of Rehabilitation Medicine, Seattle, WA 98105 | 2008-08-07 |
| 1295905909 | Desiree Roge | Physical Medicine & Rehabilitation | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2008-03-10 |
| 1457432718 | Teresa Massagli | Physical Medicine & Rehabilitation | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
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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.