Individual provider Active NPI

Kathryn Sheckels Ventura, PT

  • Physical Therapist
  • Waynesboro, VA
National Provider Identifier
1366073207
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207276 Issued in VA
Practice address
201B Rosser Ave
Waynesboro, VA 22980-3540
Phone
(540) 943-4510
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 2305207276 VA Primary

Addresses

Primary practice location

201B Rosser Ave
Waynesboro, VA 22980-3540

Mailing address

8 Neabsco Dr
Fredericksburg, VA 22405-2162

Other practice location 1

78 Medical Center Dr
Fishersville, VA 22939-2332
Phone (540) 332-4010

Other names 1

  • Dr. Kathryn Marie Sheckels Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250127000026 VA Practitioner - Physical Therapist in Private Practice 1153850896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fusion Physiotherapy Associates LLCGroup PAC ID 5092093575, 19 clinicians

Practice addresses (Care Compare)

12 Chatham Heights Rd
Suite 102
Fredericksburg, VA 22405-2593
Phone (540) 710-0130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305207276VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Physiotherapy Associates LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients

Locations

12 Chatham Heights Rd
Ste 102
Fredericksburg, VA 22405
Phone (540) 710-0130

4701 Spotsylvania Pkwy
Ste 106
Fredericksburg, VA 22407
Phone (540) 710-0100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1366073207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NEABSCO DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201B ROSSER AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803540",
            "telephone_number": "540-943-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392332",
            "country_code": "US",
            "telephone_number": "540-332-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "KATHRYN",
        "middle_name": "SHECKELS",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "SHECKELS",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.