Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Shasta Ketchamconnelly, DPT
Physical Therapist in Danville, IA · enumerated 2016.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104276120
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Registry record
Entity type Individual (Type 1)
Name Shasta Ketchamconnelly
Credential DPT
Sex Female
Practice address 508 S 1st Ave, Danville, IA, 52623
Phone (319) 750-2799
Enumeration date Jun 21, 2016
Last updated in NPPES Jun 21, 2016
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 1221789 (TX) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 3843 (HI) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 871828 (DC) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 080290 (IA) Secondary
DPT · Doctor of Physical Therapy: A physical therapist holding the clinical doctorate now standard for the profession.
About the DPT credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Shasta Ketchamconnelly?
The National Provider Identifier (NPI) for Shasta Ketchamconnelly is 1104276120, a Type 1 (individual) record in the CMS NPPES registry.
Where does Shasta Ketchamconnelly practice?
The practice location on file with NPPES is in Danville, IA. Providers can have multiple locations; NPPES lists the primary practice address.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-21.