Individual provider Active NPI

Christine Marie Shatto, PT DPT

  • Physical Therapist
  • Bedford, VA
National Provider Identifier
1215447065
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215424 Issued in VA
Practice address
3 Cedar Hill CT Ste C
Bedford, VA 24523-6457
Phone
(540) 586-1138
Fax
(434) 509-1695
NPI assigned
Oct 6, 2017
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020103 PA
Physical Therapist 225100000X 2305215424 VA Primary

Addresses

Primary practice location

3 Cedar Hill CT Ste C
Bedford, VA 24523-6457

Mailing address

20347 Timberlake Rd Ste B
Lynchburg, VA 24502-7352
Phone (540) 586-1138

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610003084 VA Practitioner - Physical Therapist in Private Practice 0840732558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2453

20347 Timberlake Rd
Suite B
Lynchburg, VA 24502-7352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020103PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates of Central Virginia Limited Partnership Physical Therapist CurrentSince May 14, 2024 Accepting new patients
Rehabilitation Associates of Central Virginia Limited Partnership Physical Therapist CurrentSince May 14, 2024 Accepting new patients
Upmc Williamsport Past Accepting new patients

Locations

3 Cedar Hill Ct
Ste C
Bedford, VA 24523
Phone (540) 586-1138

1111 Corporate Park Dr
Ste B
Forest, VA 24551
Phone (434) 525-4851

20347 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 237-6812

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1215447065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20347 TIMBERLAKE RD STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027352",
            "telephone_number": "540-586-1138",
            "fax_number": "434-509-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CEDAR HILL CT STE C",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245236457",
            "telephone_number": "540-586-1138",
            "fax_number": "434-509-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATTO",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020103",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.