Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Coburn Shank, MSPT

Individual provider Physical Therapist · NPI 1558478263

Coburn Shank, MSPT is registered under 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
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Practice location Address checks out

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients67
Services billed 1,968 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Mercy Clinics Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 442 clinicians in the practice; 12 are shown here.

Other providers in Clive