Active NPI
Christie Shantell, Yates Plymal, MPT, ATC
- Physical Therapist
- Grundy, VA
National Provider Identifier
1356378632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305203672
- Practice address
- 1103 Plaza Dr # H
Grundy, VA 24614-9434 - Phone
- (276) 935-5525
- Fax
- (276) 935-5523
- NPI assigned
- Jun 26, 2006
- Last updated
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305203672 | VA | Primary |
Addresses
Primary practice location
1103 Plaza Dr # H
Grundy, VA 24614-9434
Mailing address
1103 Plaza Dr # H
Grundy, VA 24614-9434
Phone (276) 935-5525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010093023 | Medicaid | VA | |
| 3810000838 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- East Tennessee State University Quillen College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1103 Plaza Dr
Suite H
Grundy, VA 24614-6625
Phone (276) 935-5525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305203672 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buchanan Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1103 Plaza Dr
Ste H
Grundy, VA 24614
Phone (276) 935-5525
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Grundy, VA
- NPI 1215951843
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1356378632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 PLAZA DR # H",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246149434",
"telephone_number": "276-935-5525",
"fax_number": "276-935-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 PLAZA DR # H",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246149434",
"telephone_number": "276-935-5525",
"fax_number": "276-935-5523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLYMAL",
"first_name": "CHRISTIE",
"middle_name": "SHANTELL, YATES",
"credential": "MPT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010093023",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810000838",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grundy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.