Active NPI
Katy Lawlor Shumbo, PT, DPT, OCS, ATC
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1306337928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013448
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Therapy
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
| License | State | Type | Specialty |
|---|---|---|---|
| P24464 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte One on One Physical Therapy | Physical Therapist | Current | Accepting new patients |
| A Step Ahead Physical Therapy, LLC | Current | 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.
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1932611324
NC, Physical Therapist
-
- Physical Therapy Clinic/Center
- Roswell, GA
- NPI 1194875500
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.