Individual provider Active NPI

Emilia Kubera Shelton, PT

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1336571801
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29343 Issued in MD
Practice address
16900 Science Dr Ste 104-106
Bowie, MD 20715-4401
Phone
(301) 805-7110
Fax
(301) 805-7114
NPI assigned
Aug 6, 2013
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 29343 MD Primary

Addresses

Primary practice location

16900 Science Dr Ste 104-106
Bowie, MD 20715-4401

Mailing address

16900 Science Dr Ste 104-106
Bowie, MD 20715-4401
Phone (301) 805-7110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230515002727 DC Practitioner - Physical Therapist in Private Practice 1658507017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nevada School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaddegh Physical Therapy IncGroup PAC ID 5698952422, 9 clinicians

Practice addresses (Care Compare)

6915 Laurel Bowie Rd
Suite 100
Bowie, MD 20715-1715
Phone (240) 245-4245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaddegh Physical Therapy Inc Physical Therapist CurrentSince Apr 10, 2023 Accepting new patients
Mosaddegh Physical Therapy Inc. Physical Therapist PastSince Apr 10, 2023 Accepting new patients
Comprehensive Therapy Centers, LLC Physical Therapist Past Accepting new patients
Mosaddegh Physical Therapy Inc. Physical Therapist PastSince Oct 13, 2019 Accepting new patients

Locations

6915 Laurel Bowie Rd
Ste 100
Bowie, MD 20715
Phone (240) 245-4245

7500 Hanover Pkwy
Ste 103
Greenbelt, MD 20770
Phone (301) 446-1644

14113 Baltimore Ave
#B
Laurel, MD 20707
Phone (301) 347-4737

17902 Georgia Ave
Ste 220
Olney, MD 20832

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1336571801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16900 SCIENCE DR STE 104-106",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154401",
            "telephone_number": "301-805-7110",
            "fax_number": "301-805-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16900 SCIENCE DR STE 104-106",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154401",
            "telephone_number": "301-805-7110",
            "fax_number": "301-805-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBERA SHELTON",
        "first_name": "EMILIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.