Individual provider Active NPI

Shaista Ambreen, DPT

  • Physical Therapist
  • Sterling, VA
National Provider Identifier
1316469042
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212630 Issued in VA
Practice address
46262 Cranston St Ste 115B
Sterling, VA 20165-7241
Phone
(571) 306-4113
Fax
(571) 313-1073
NPI assigned
Jul 14, 2017
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 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 2305212630 VA Primary

Addresses

Primary practice location

46262 Cranston St Ste 115B
Sterling, VA 20165-7241

Mailing address

46262 Cranston St Ste 115B
Sterling, VA 20165-7241
Phone (571) 306-4113

Other identifiers 1

IdentifierTypeStateIssuer
30016845260002MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190805003053 VA Practitioner - Physical Therapist in Private Practice 6103153713 Reassigns benefits to 2 organizations
I20251218001923 DC Practitioner - Physical Therapist in Private Practice 6103153713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians

Practice addresses (Care Compare)

46262 Cranston St
Suite 115B
Sterling, VA 20165-7241
Phone (571) 306-4113

5900 Fort Dr
Suite 208
Centreville, VA 20121-2425
Phone (703) 830-6360

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 9, 2025 Accepting new patients
Loudoun Physical Therapy, Inc. Physical Therapist CurrentSince May 11, 2019 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Virginia Hospital Center Arlington Health System PastSince May 11, 2019 Accepting new patients

Locations

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

5900 Fort Dr
Ste 208
Centreville, VA 20121
Phone (703) 830-6360

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159

525 E Market St
Ste B
Leesburg, VA 20176
Phone (703) 443-6700

46262 Cranston St
Ste 115B
Sterling, VA 20165
Phone (571) 306-4113

Interoperability endpoints

  • Direct secure messaging: shaista.ambreen@lmg1.eclinicaldirectplus.com

Organizations & group practices 4

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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1316469042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46262 CRANSTON ST STE 115B",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657241",
            "telephone_number": "571-306-4113",
            "fax_number": "571-313-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46262 CRANSTON ST STE 115B",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657241",
            "telephone_number": "571-306-4113",
            "fax_number": "571-313-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBREEN",
        "first_name": "SHAISTA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016845260002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.