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

Individual provider Physical Therapist · NPI 1407373384

Kayla M Shafer, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Springfield, Illinois. Qualified in 2017, 9 years ago. Practices with Orthopaedic Center of Il, a 30-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone: (217) 547-9100
Fax: (217) 547-9236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1407373384
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedAugust 23, 2017
Last updated in NPPESJuly 21, 2022
Certification dateJuly 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Orthopaedic Center Of Il — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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