Doctor profile · Federal record

Dr. Rebecca Costello Shetlar, DPT

Physical Therapist (CMS: Physical Therapist in Private Practice) · Wagoner, OK

  • NPI 1063105658
  • Accepts Medicare
  • 3 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
817 W Cherokee St
Wagoner, OK 744674616
(812) 628-3060
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 402235005

Credentials & registration

NPPES · NUCC
NPI registered
May 2023 — 3 yrs on file
Profile last updated
June 19, 2023
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
225100000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1063105658. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,675
Distinct HCPCS
5
Medicare allowed
$45,146
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 657 90 $21
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 426 77 $25
97530 Therapy procedure using functional activities 413 72 $32
97140 Therapy procedure using manual technique, each 15 minutes 125 49 $19
97161 Evaluation for physical therapy, typically 20 minutes 54 53 $94

In context: peer comparison

Among 1 peers in Wagoner Physical Therapist, average services per provider: 335. This provider delivers 5.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Rebecca Costello Shetlar's medical specialty?
Dr. Rebecca Costello Shetlar practices Physical Therapist in Wagoner, OK.
Where does Dr. Rebecca Costello Shetlar practice?
Dr. Rebecca Costello Shetlar practices at 817 W Cherokee St, Wagoner, OK 744674616. Office phone: 8126283060.
What is Dr. Rebecca Costello Shetlar's NPI?
Dr. Rebecca Costello Shetlar's National Provider Identifier (NPI) is 1063105658, issued by NPPES.
Does Dr. Rebecca Costello Shetlar accept Medicare assignment?
Yes. Dr. Rebecca Costello Shetlar accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rebecca Costello Shetlar commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.