NPPES file of Aug 9, 2026

Shasta J. Ellenburg, PT

Physical Therapist · Ozark, AL

Shasta J. Ellenburg, PT is a physical therapist with a practice address in Ozark, Alabama, and NPI 1104113935, issued on Jun 30, 2011. Check the license (Alabama PTH4042, as entered in NPPES) with the Alabama board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104113935
Name
Shasta J. Ellenburg
Credential
PT
Primary taxonomy
Physical Therapist 225100000X
License number
PTH4042 AL
Self-reported in NPPES; status is on the state search
Practice location
1254 Andrews Ave, Ozark, AL 36360
Phone
(334) 445-1380
Enumerated
Jun 30, 2011
Record last updated
Jun 30, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(334) 445-1489
Medicare enrollment
Enrolled (PECOS I20110811000634); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1254 Andrews Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Heather Adkison, PTAPhysical Therapy Assistant1801041454
  2. Elizabeth Ballard, PTPhysical Therapist1003161167
  3. Erin Keefer, DPTPhysical Therapist1023258811
  4. Samantha LangenkampPhysical Therapist1558844803
  5. Bradford Malaier, DPTPhysical Therapist1356748669
  6. Jacob Martin, PTAPhysical Therapy Assistant1134569239

Verify Shasta J. Ellenburg in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Alabama board licenses this profession
    Search for license PTH4042
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Alabama license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

The MIPS final score for 2023 (Medicare payment program): 86 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score83.5
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Healthactions PADothan, AL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

19 physical therapist records list a practice address in Ozark

They are 19 of the 242 NPPES records with a practice address in Ozark, and 2,896 physical therapist records in Alabama.

Other physical therapist records in Alabama

  1. Aleecia AbbottFoley, AL1710026638
  2. Kimberly Abbott, PT, DPTFoley, AL1417681438
  3. Rachel Abernathy, P.T.Gadsden, AL1801898051
  4. Tarmarc Abrams, PT, DPTMontgomery, AL1851768923
  5. Joshua Abshire, DPTGulf Shores, AL1346192432
  6. Ahmad Abu-SpetaniMadison, AL1245000868
  7. Laventia Acker, DPTFairhope, AL1558774018
  8. William AcremanWetumpka, AL1427719939
  9. Abby Adams, DPTFairhope, AL1396371712
  10. Andrew Adams, PT, DPTGadsden, AL1578449179

Common questions

What is Shasta J. Ellenburg, PT's NPI number?

Shasta J. Ellenburg, PT's National Provider Identifier (NPI) is 1104113935, issued on Jun 30, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Shasta J. Ellenburg, PT located?

The NPPES record lists a practice address at 1254 Andrews Ave, Ozark, AL, 36360. Phone: (334) 445-1380. Providers update this record themselves, so call before visiting.

How can I verify Shasta J. Ellenburg, PT's license?

NPPES lists Alabama license number PTH4042, as entered by the provider. Search the Alabama board that licenses this profession; the NPPES record confirms identity only.

What is Shasta J. Ellenburg, PT's MIPS final score?

The 2023 MIPS final score is 86 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.