Kerry William Shutt, PT, DPT - Medicare Physical Therapist in Willis, TX

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Kerry William Shutt, PT, DPT is a medicare enrolled "Physical Therapist" provider in Willis, Texas. His current practice location is 9851 Fm 1097 Rd W Ste 180, Willis, Texas. You can reach out to his office (for appointments etc.) via phone at (570) 412-2135.

Kerry William Shutt is licensed to practice in Maryland (license number 29444) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306538699.

Contact Information

Kerry William Shutt, PT, DPT
9851 Fm 1097 Rd W Ste 180,
Willis, TX 77318-5852
(570) 412-2135
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKerry William Shutt
GenderMale
SpecialityPhysical Therapist
Location9851 Fm 1097 Rd W Ste 180, Willis, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306538699
  • Provider Enumeration Date: 05/24/2023
  • Last Update Date: 05/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305207093
  • Enrollment ID: I20230727002039

Medical Identifiers

Medical identifiers for Kerry William Shutt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306538699NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist CP022030T (Texas)Secondary
225100000XPhysical Therapist 29444 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kerry William Shutt allows following entities to bill medicare on his behalf.
Provider NameSelect Physical Therapy Texas Limited Partnership
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1770254179
PECOS PAC ID: 6608868070
Enrollment ID: O20090810000442

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kerry William Shutt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kerry William Shutt, PT, DPT
5345 Kerger Rd,
Ellicott City, MD 21043-7013

Ph: (470) 412-2135		Kerry William Shutt, PT, DPT
9851 Fm 1097 Rd W Ste 180,
Willis, TX 77318-5852

Ph: (570) 412-2135

Reviews and Comments


Physical Therapist in Willis, TX

Select Physical Therapy
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9851 Fm 1097 Rd W, Willis, TX 77318
Phone: 717-972-1100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.