Doctor profile · Federal record
Dr. Coburn Shank, MSPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Clive, IA
- NPI 1558478263
- Accepts Medicare
- 30 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1601 Nw 114Th St Ste 347
Clive, IA 503257046
(515) 222-7350
fax (515) 222-7355 - Mailing address
-
Po Box 674721
Dallas, TX 752674721
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- April 9, 2026
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Iowa #02418
- Medicaid
- IA #0452409
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558478263. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,236
Distinct HCPCS
6
Medicare allowed
$35,263
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 400 | 59 | $28 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 304 | 53 | $20 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 295 | 50 | $21 | |
97530 |
Therapy procedure using functional activities | 163 | 31 | $34 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 46 | 44 | $95 | |
97164 |
Re-evaluation for physical therapy, typically 20 minutes | 28 | 21 | $65 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 258. This provider delivers 4.8× the peer median.Frequently asked questions
What is Dr. Coburn Shank's medical specialty?
Dr. Coburn Shank practices Physical Therapist in Clive, IA.
Where does Dr. Coburn Shank practice?
Dr. Coburn Shank practices at 1601 Nw 114Th St Ste 347, Clive, IA 503257046. Office phone: 5152227350.
What is Dr. Coburn Shank's NPI?
Dr. Coburn Shank's National Provider Identifier (NPI) is 1558478263, issued by NPPES.
Does Dr. Coburn Shank accept Medicare assignment?
Yes. Dr. Coburn Shank accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Coburn Shank commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using manual technique (HCPCS 97140); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110). Source: CMS Medicare Physician & Other Practitioners file.