SHELLY M PRICE PT
NPI 1033188420
Physical Therapist in Sioux Falls, SD

Active since March 16, 2006Accepts Medicare Assignment
84.71/100
CMS Quality Rating
810 E 23RD ST, SIOUX FALLS, SD 57105(605) 331-5890(605) 336-3974 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelly M Price Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY M PRICE PT (NPI 1033188420) is an individual physical therapist in Sioux Falls, South Dakota, licensed in South Dakota (1192) and active in the NPI registry since March 2006. She is a graduate of Other (2002).

NPPES Registry Identity

NPI1033188420
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSHELLY M PRICECredential: PT
Location Address810 E 23RD STSioux Falls, SD 57105-2135
Mailing AddressPo Box 5116Sioux Falls, SD 57117-5116 · (605) 331-5890 · Fax (605) 336-3974
Fax(605) 336-3974
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 16, 2006
Last NPPES UpdateSeptember 8, 2008
NPI 1033188420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in SD · 1192
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
810 E 23RD ST, Sioux Falls, SD 57105

Other Identifiers 3

Other4996766Bxbs Of Sd
Medicaid5833570SD
Medicare ID-Type Unspecified40648SD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shelly M Price Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335223734
PECOS Enrollment IDI20080225000130

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,508 services99 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
284 services38 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
191 services64 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
149 services18 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
95 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.63
Promoting Interoperability100
Improvement Activities40
Cost67.42

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%51 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
810 E 23RD ST
SIOUX FALLS, SD 57105
Physical Therapist
810 E 23RD ST
SIOUX FALLS, SD 57105
Specialist
810 E 23RD ST
SIOUX FALLS, SD 57105
Physician Assistant
810 E 23RD ST
SIOUX FALLS, SD 57105
Orthopaedic Surgery (Hand Surgery)
810 E 23RD ST
SIOUX FALLS, SD 57105
Physical Therapist (Orthopedic)
810 E 23RD ST
SIOUX FALLS, SD 57105
Physician Assistant
810 E 23RD ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Acute Care)
810 E 23RD ST
SIOUX FALLS, SD 57105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Price's NPI number?

The NPI number for Shelly Price is 1033188420. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Shelly Price located?

Shelly Price practices at 810 E 23rd St, Sioux Falls, SD 57105. The listed phone number is (605) 331-5890.

What is Shelly Price's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Shelly Price enrolled in Medicare?

Yes. Shelly Price is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelly Price accept?

Health plans from Avera Health Plans and Sanford Health Plan list Shelly Price as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelly Price was last updated on September 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.