Shelby Renee Pascucci, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214428 Issued in VA

Practice address

3299 Woodburn Rd Ste 310
Annandale, VA 22003-7300

Phone

(703) 849-8142

Fax

(703) 849-0735

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1336717735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 RENEAU WAY APT 1C",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704515",
            "telephone_number": "703-626-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD STE 310",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037300",
            "telephone_number": "703-849-8142",
            "fax_number": "703-849-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUCCI",
        "first_name": "SHELBY",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ju Hee Park, DDS
• Kong Surk Park, D.C.
• Kyung Sook Park, OMD
• Maya Parker
• Gustavo Jesus Pascale
• Larry Howard Pastor, MD
• Patient First Richmond Medical Group PLLC
• Trupti Patil, PT
• Paul Acupuncture and Wellness
• Christina Louise Paul, M.D.

• Physical Therapist in Annandale, VA
• Providers in Annandale, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.