Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coburn Shank, MSPT

Individual provider Physical Therapist · NPI 1558478263

Coburn Shank, MSPT is a Physical Therapist in Private Practice in Clive, Iowa. Qualified in 1996, 30 years ago. Practices with Mercy Clinics Inc, a 442-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
30
Licensed in
IA
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1601 NW 114th St Ste 347
Clive, IA 50325-7046
Phone: (515) 222-7350
Fax: (515) 222-7355
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 02418 (IA)

Record details

NPI number1558478263
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing addressPo Box 674721, Dallas, TX 75267-4721

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Mercy Clinics Inc — 442 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clive