Provider Demographics
NPI:1053085985
Name:KAHN, SHELBY FOTI (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:FOTI
Last Name:KAHN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:SHELBY
Other - Middle Name:CLAIRE
Other - Last Name:FOTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:9001 BRODIE LN STE C8
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9001 BRODIE LN STE C8
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5005
Practice Address - Country:US
Practice Address - Phone:512-712-4192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1345830225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist