Individual provider Active NPI

Christa Grace Shaver, PT DPT

  • Physical Therapist
  • Albany, OR
National Provider Identifier
1194694331
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65863 Issued in OR
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

Updated by the provider on Jun 12, 2026

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 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 Former name

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

LicenseStateTypeSpecialty
65863ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corvallis Sport and Spine Physical Therapy Inc Physical Therapist CurrentSince Nov 9, 2025 Accepting new patients
Corvallis Sport and Spine Physical Therapy Inc Physical Therapist PastSince Nov 9, 2025 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.

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.

Verify at the official NPI Registry.