Pamela Gail Shields, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305209578 Issued in VA

Practice address

12779 Turberville LN
Herndon, VA 20171

Phone

(571) 308-8252

Fax

(571) 250-6305

NPI assigned

Apr 11, 2007

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Pamela Gail Wenger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1184847618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12779 TURBERVILLE LN",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712216",
            "telephone_number": "937-672-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12779 TURBERVILLE LN",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20171",
            "telephone_number": "571-308-8252",
            "fax_number": "571-250-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "PAMELA",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT008971L",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DC",
            "license": "PT871933",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305209578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111408402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WENGER",
            "middle_name": "GAIL",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Michelle Sheedfar, ATC
• Alyssa Shehadeh
• Hayley Beth Sherwood, PHD
• Min Shi
• Ya Shi
• Nada Ali Shihadeh, DMD
• Amy Shinal, MSW, LCSW
• Rajitha Siddineni, MD
• Maha Siddiqi, DDS
• Khushbinder Kaur Sidhu

• Orthopedic Physical Therapist in Herndon, VA
• Providers in Herndon, 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 Aug 25, 2023; 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.