Individual provider Active NPI

Katy Lawlor Shumbo, PT, DPT, OCS, ATC

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1306337928
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013448 Issued in GA
Practice address
6115 Park South Dr
Charlotte, NC 28210-3269
Phone
(401) 338-3265
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 P24464 NC
Physical Therapist 225100000X PT013448 GA Primary

Addresses

Primary practice location

6115 Park South Dr
Charlotte, NC 28210-3269

Mailing address

833 Burnley Rd
Charlotte, NC 28210-3735
Phone (401) 338-3265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204002284 NC Practitioner - Physical Therapist in Private Practice 7517353048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte One on One Physical TherapyGroup PAC ID 6204194137, 8 clinicians

Practice addresses (Care Compare)

6115 Park S Dr
Suite 360
Charlotte, NC 28210-3269
Phone (980) 223-2302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24464NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte One on One Physical Therapy Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
A Step Ahead Physical Therapy, LLC CurrentSince Aug 8, 2024 Accepting new patients

Locations

930 Woodstock Rd
Ste 310
Roswell, GA 30075
Phone (770) 998-6636

6115 Park South Dr
Ste 360
Charlotte, NC 28210
Phone (980) 223-2302

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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1306337928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 BURNLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103735",
            "telephone_number": "401-338-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 PARK SOUTH DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103269",
            "telephone_number": "401-338-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMBO",
        "first_name": "KATY",
        "middle_name": "LAWLOR",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24464",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.