Individual provider Active NPI

Shelly Litwiler

  • Physical Therapist
  • Chantilly, VA
National Provider Identifier
1598219941
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210456 Issued in VA
Practice address
3925 Downs Dr
Chantilly, VA 20151-3308
Phone
(877) 407-3422
Fax
(877) 407-4329
NPI assigned
Aug 14, 2016
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 2305210456 VA Primary

Addresses

Primary practice location

3925 Downs Dr
Chantilly, VA 20151-3308

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224

Other practice location 1

5477 Germanna Hwy
Locust Grove, VA 22508-2018
Phone (540) 972-9610

Other practice location 2

14302 Winterview Pkwy
Midlothian, VA 23113-4386
Phone (804) 601-6010

Other practice location 3

20 E Piccadilly St Ste 11&14
Winchester, VA 22601-3971
Phone (877) 407-3422

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services LLC
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220422000383 VA Practitioner - Physical Therapist in Private Practice 2961899927 Reassigns benefits to 6 organizations
I20241104002629 DC Practitioner - Physical Therapist in Private Practice 2961899927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians
Fox Rehabilitation Services LLCGroup PAC ID 1355347410, 304 clinicians

Practice addresses (Care Compare)

14302 Winterview Pkwy
Midlothian, VA 23113-4386
Phone (804) 601-6010

3925 Downs Dr
Chantilly, VA 20151-3308
Phone (703) 810-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 11, 2022 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Legacy Healthcare Services, Inc Physical Therapist Current Accepting new patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince Aug 24, 2024 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Aug 8, 2025 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304

12032 Southshore Pointe Rd
Midlothian, VA 23112
Phone (804) 446-4620

14302 Winterview Pkwy
Midlothian, VA 23113
Phone (804) 601-6010

1600 Westwood Ave
Richmond, VA 23227
Phone (804) 355-5721

3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500

1410 N Augusta St
#A
Staunton, VA 24401

3317 Ocean Shore Ave
Virginia Beach, VA 23451
Phone (757) 232-3179

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

Organizations & group practices 10

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": "1471132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1598219941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 DOWNS DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513308",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5477 Germanna Hwy",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "VA",
            "postal_code": "225082018",
            "country_code": "US",
            "telephone_number": "540-972-9610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14302 Winterview Pkwy",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231134386",
            "country_code": "US",
            "telephone_number": "804-601-6010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 E Piccadilly St Ste 11&14",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013971",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITWILER",
        "first_name": "SHELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-14",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "20 E Piccadilly St Ste 11&14",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226013971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "3925 Downs Dr",
            "city": "Chantilly",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201513308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.