Active NPI
Christa Grace Shaver, PT DPT
- Physical Therapist
- Albany, OR
National Provider Identifier
1194694331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65863
- Practice address
- 613 Hickory St NW
Albany, OR 97321-1752 - Phone
- (541) 928-1411
- Fax
- (541) 753-4256
- NPI assigned
- Nov 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 65863 | OR | Primary |
Addresses
Primary practice location
613 Hickory St NW
Albany, OR 97321-1752
Mailing address
2635 NW Rolling Green Dr
Corvallis, OR 97330-3519
Phone (541) 752-0545
Other names 1
- Christa Grace Shipman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2635 NW Rolling Green Dr
Corvallis, OR 97330-3519
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65863 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corvallis Sport and Spine Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Corvallis Sport and Spine Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
613 Hickory St NW
Albany, OR 97321
Phone (541) 753-4246
2635 NW Rolling Green Dr
Corvallis, OR 97330
Phone (541) 752-0545
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.
-
- Physical Therapist
- Corvallis, OR
- NPI 1841388170
-
- Physical Therapist
- Albany, OR
- NPI 1477991149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1194694331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 NW ROLLING GREEN DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303519",
"telephone_number": "541-752-0545",
"fax_number": "541-753-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 HICKORY ST NW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211752",
"telephone_number": "541-928-1411",
"fax_number": "541-753-4256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAVER",
"first_name": "CHRISTA",
"middle_name": "GRACE",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-04",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTA",
"last_name": "SHIPMAN",
"middle_name": "GRACE",
"credential": "PT DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.