Kyle P. Shaffer, DPT
NPI 1720336894ActiveIndividual· Physical Therapist· Marion, IN
Physical Therapist (DPT) with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, practicing in Marion, Indiana. Medicare paid $112,564 for services to 95 patients in 2024.
Overview
| NPI | 1720336894 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Aug 21, 2012 |
| Last updated in NPPES | May 4, 2023 |
| Certified by provider | May 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 05010977A | IN |
| Physical Therapist | 225100000X | 99053331A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 95 |
|---|---|
| Services billed | 5,964 across 9 procedure codes |
| Paid by Medicare | $112,564 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAJoliet, IL · 376 clinicians
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All 37 physical therapists in Marion · All physical therapists in Indiana