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

Shelly Tat, DO

Individual provider Neuromusculoskeletal Medicine & OMM Physician · NPI 1699335067

Shelly Tat, DO is a Family Practice in Highland Heights, Kentucky. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2018, 8 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
KY
In the registry since
2019
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2626 Alexandria Pike
Highland Heights, KY 41076-1530
Phone: (859) 781-4111
Fax: (859) 441-5214
Show map & directions

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

Additional practice locations (1)

  • 413 S Loop Rd, Edgewood, KY 41017-5446 — (859) 301-3800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 05196 (KY)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 05196 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699335067
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing address2626 Alexandria Pike, Highland Heights, KY 41076-1530

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2018 (8 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare