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

Shelton Blevins

Individual provider Physical Therapist · NPI 1376951590

Shelton Blevins is a Physical Therapist in Private Practice in Columbia, Missouri. Qualified in 2014, 12 years ago. Practices with Boone Physician Services LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
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Practice location Address checks out

303 N Keene St Ste 102
Columbia, MO 65201-7193
Phone: (573) 443-0225
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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 2014039416 (MO)

Record details

NPI number1376951590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2014
Last updated in NPPESNovember 10, 2014
Mailing address303 N Keene St, Ste 102, Columbia, MO 65201-7193

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia