Jessica M. Shelton, PT, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305207576 Issued in VA

Practice address

2106 Executive Dr
Hampton, VA 23666-2402

Phone

(757) 838-6678

Fax

(757) 838-8116

NPI assigned

Aug 10, 2012

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stronger Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Baldwinsville, NY
  • NPI 1235704180
  NPD Authorized official
• Tidewater Physical Therapy LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Norfolk, VA
  • NPI 1205345444
  NPD (past)
• Tidewater Physical Therapy LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1427561984
  NPD (past)
• Tidewater Physical Therapy LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Salem, VA
  • NPI 1841700432
  NPD (past)
• Tidewater Physical Therapy, LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1083133268
  NPD (past)
• Tidewater Physical Therapy, LLC

  dba Pantops Physical Therapy

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1932648649
  NPD (past)

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1447507306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W SENECA ST STE 12",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042422",
            "telephone_number": "315-682-0325",
            "fax_number": "315-682-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 EXECUTIVE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662402",
            "telephone_number": "757-838-6678",
            "fax_number": "757-838-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JESSICA",
        "middle_name": "M.",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "C05954",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447507306",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmin Nicole Shawell, NP
• Shayegh and Khanna DDS PLLC
• Katilyn Alexis Sheckells, QMHP CSAC SUPERVISEE
• Charles Emerson Shefelton, CTRS
• Taha Muhammad Sheikh, MD
• Michael Jesse Shelton, PHARM.D.
• Rosalie Cacanindin Shepard, CRNAP
• Shift My Wellness LLC
• Yunjeong H Shin
• Theresa L Shipley, OTR/L, CHT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.