Shelby Nester

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2306603765 Issued in VA

Practice address

9642 Burke Lake Rd
Burke, VA 22015-3052

Phone

(703) 543-7920

NPI assigned

Apr 15, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1073909131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12906 NEW PARKLAND DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712645",
            "telephone_number": "724-344-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9642 BURKE LAKE RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153052",
            "telephone_number": "703-543-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTER",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2306603765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHYSICAL THERAPY BOARD",
            "identifier": "2306603765",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Wilver PHD PLLC
• Ali Navidi, PSY.D.
• Seema Nechel, O.D.
• Neelima Neelapala, PT
• Grace T Neria, M.S., R.D., L.D.
• Neuropsychology at Burke, LLC
• Carole Nguekam, NP
• Huong T Nguyen-Duong, OD
• Christopher Nguyen, DMD
• Helen Nguyen

• Physical Therapy Clinic/Center in Burke, VA
• Providers in Burke, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.