AMY K SHOUE PT
NPI 1275288631
Physical Therapist in South Bend, IN

Active since February 15, 2022
111 W JEFFERSON BLVD STE 100, SOUTH BEND, IN 46601(574) 647-2627 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2022, Feb 15, 2022 (2 updates tracked since 2022).

About Amy K Shoue Pt NPPES

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

AMY K SHOUE PT (NPI 1275288631) is an individual physical therapist in South Bend, Indiana, licensed in Indiana (05006885A) and active in the NPI registry since February 2022. She maintains 4 additional practice locations and is a graduate of Other (1999).

NPPES Registry Identity

NPI1275288631
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameAMY K SHOUECredential: PT
Location Address111 W JEFFERSON BLVD STE 100South Bend, IN 46601-1993
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 15, 2022
Last NPPES UpdateApril 29, 20222 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
✔ NPI 1275288631 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 IN · 05006885A
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.
111 W JEFFERSON BLVD STE 100, South Bend, IN 46601

Secondary Practice Locations 4

Location 1900 I StLA Porte, IN 46350-5533 · Phone (219) 324-1730
Location 23221 Beacon Pkwy Ste 100Granger, IN 46530-7196 · Phone (574) 647-2930
Location 3200 E Jackson Blvd Ste 150Elkhart, IN 46516-3513 · Phone (574) 389-5558
Location 41815 E Ireland Rd Ste 100South Bend, IN 46614-2845 · Phone (574) 647-5790

Other Identifiers 2

Medicaid300059339IN
OtherIN3678035IN · Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy K Shoue Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254725286
PECOS Enrollment IDI20220308001227

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Shoue reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
655 RIVER AVE
South Bend, IN 46601
  • Reassigned Medicare billing, Indiana enrollment
  • 4 clinicians in this Medicare group
Physical Therapist
3221 BEACON PARKWAY STE 100
Granger, IN 46530
  • Reassigned Medicare billing, Indiana enrollment
  • 42 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

Specialist/Technologist (Athletic Trainer)
111 W JEFFERSON BLVD STE 100
SOUTH BEND, IN 46601
Physical Therapy Assistant
111 W JEFFERSON BLVD STE 100
SOUTH BEND, IN 46601
Family Medicine (Sports Medicine)
111 W JEFFERSON BLVD STE 100
SOUTH BEND, IN 46601
Occupational Therapist
111 W JEFFERSON BLVD STE 100
SOUTH BEND, IN 46601
Family Medicine (Sports Medicine)
111 W JEFFERSON BLVD STE 100
SOUTH BEND, IN 46601
Family Medicine (Sports Medicine)
111 W JEFFERSON BLVD STE 100
SOUTH BEND, IN 46601
Specialist/Technologist (Athletic Trainer)
111 W JEFFERSON BLVD STE 100
SOUTH BEND, IN 46601

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 Amy Shoue's NPI number?

The NPI number for Amy Shoue is 1275288631. It was assigned to this individual provider in the NPPES registry on February 15, 2022.

Where is Amy Shoue located?

Amy Shoue practices at 111 W Jefferson Blvd Ste 100, South Bend, IN 46601. The listed phone number is (574) 647-2627.

What is Amy Shoue's specialty?

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

Is Amy Shoue enrolled in Medicare?

Yes. Amy Shoue is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amy Shoue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Shoue reassigns Medicare benefits to 2 organizations: Thrive Neuro Therapy, LLC (South Bend, IN) and Beacon Health, LLC (Granger, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Shoue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Shoue was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.