SHELLY A TACKETT OT
NPI 1912545872
Occupational Therapist in Owensboro, KY
About Shelly A Tackett Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLY A TACKETT OT (NPI 1912545872) is an individual occupational therapist in Owensboro, Kentucky, licensed in Kentucky (131137) and active in the NPI registry since December 2019.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelly A Tackett Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shelly Tackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Owensboro, KY 42301
- Reassigned Medicare billing, Kentucky enrollment
- 20 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.
Areas of Expertise CMS Part B claims 3
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.
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.
OWENSBORO, KY 42301
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 Tackett's NPI number?
The NPI number for Shelly Tackett is 1912545872. It was assigned to this individual provider in the NPPES registry on December 11, 2019.
Where is Shelly Tackett located?
Shelly Tackett practices at 1605 Scherm Rd Ste 1, Owensboro, KY 42301. The listed phone number is (270) 685-9499.
What is Shelly Tackett's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Shelly Tackett enrolled in Medicare?
Yes. Shelly Tackett is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shelly Tackett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Tackett reassigns Medicare benefits to Progressive Sports Therapy, LLC. (Owensboro, KY). The 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 Shelly Tackett'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 Shelly Tackett was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.