Alexis Danielle Shay, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305213291 Issued in VA

Practice address

1760 Old Meadow Rd Ste 200
MC Lean, VA 22102-4330

Phone

(703) 988-4664

Fax

(571) 289-4690

NPI assigned

Apr 25, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in DC, MD2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maryland Luna Care Physical Therapy LLC

  • Physical Therapist
  • Chevy Chase, MD
  • NPI 1083340988

  DC

  Medicare reassignment NPD
• Medstar Health Physical Therapy at Home, LLC.

  • Rehabilitation Clinic/Center
  • Columbia, MD
  • NPI 1891472684
  Medicare reassignment NPD
• Medstar Health Physical Therapy at Home, LLC.

  • Physical Therapist
  • Washington, DC
  • NPI 1811683923

  Orthopedic

  NPD
• Advanced Kinetics Physical Therapy

  • Physical Therapy Clinic/Center
  • Falls Church, VA
  • NPI 1346631116
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1093379042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12212 SELINE WAY",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542872",
            "telephone_number": "301-461-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 OLD MEADOW RD STE 200",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024330",
            "telephone_number": "703-988-4664",
            "fax_number": "571-289-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Rockledge Dr",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171842",
            "country_code": "US",
            "telephone_number": "301-897-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAY",
        "first_name": "ALEXIS",
        "middle_name": "DANIELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305213291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "2305213291",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zinah Shakir
• Imad Shami, DMD, OMFS
• Saba Shapouri, PT, DPT
• Rekha Sharma
• Jenny April Sharon, PT, DPT, CKTP
• Steven Zachary Sheats
• Arshuman Tariq Sheikh
• Vivian Allison Shelton, PSY.D.
• Milagros Rocio Shepard, PA-C
• Trushita Sheth, PT

• Orthopedic Physical Therapist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.