Individual provider Active NPI

Shelby Leggett, PT, DPT, COMT

  • Physical Therapist
  • Greenville, NC
National Provider Identifier
1154929024
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19694 Issued in NC
Practice address
2340 Hemby LN Ste 200
Greenville, NC 27834-3792
Phone
(252) 758-5000
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P19694 NC Primary

Addresses

Primary practice location

2340 Hemby LN Ste 200
Greenville, NC 27834-3792

Mailing address

2019B Leighton Dr
Greenville, NC 27834-4854
Phone (919) 440-9738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912001309 NC Practitioner - Physical Therapist in Private Practice 3173908167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Therapy of North Carolina Inc CurrentSince Jul 15, 2022 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Jul 15, 2022 Accepting new patients

Locations

2340 Hemby Ln
Ste 200
Greenville, NC 27834
Phone (252) 758-5000

2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375

1259 Highland Dr
Washington, NC 27889
Phone (252) 243-0072

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1154929024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019B LEIGHTON DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344854",
            "telephone_number": "919-440-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 HEMBY LN STE 200",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343792",
            "telephone_number": "252-758-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGETT",
        "first_name": "SHELBY",
        "credential": "PT, DPT, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.