Active NPI
Shelby Elizabeth Lee, PT, DPT
- Physical Therapist
- Christiansburg, VA
National Provider Identifier
1689233918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212753
- Practice address
- 112 Oaktree Blvd
Christiansburg, VA 24073-1488 - Phone
- (540) 382-1346
- Fax
- (540) 381-0276
- NPI assigned
- Jun 11, 2019
- Last updated
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 2305212753 | VA | Primary |
Addresses
Primary practice location
112 Oaktree Blvd
Christiansburg, VA 24073-1488
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714
Other practice location 1
1140 W. Main Street
Attn: RehabCare
Christiansburg, VA 24073-4222
Phone (540) 382-1742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1689233918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-258-2714",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 OAKTREE BLVD",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240731488",
"telephone_number": "540-382-1346",
"fax_number": "540-381-0276"
}
],
"practiceLocations": [
{
"address_1": "1140 W. Main Street",
"address_2": "Attn: RehabCare",
"address_purpose": "LOCATION",
"city": "Christiansburg",
"state": "VA",
"postal_code": "240734222",
"country_code": "US",
"telephone_number": "540-382-1742",
"fax_number": "540-381-1742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "SHELBY",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.