Serra Shelton, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61596780 Issued in WA

Practice address

4005 Wallingford Ave N
Seattle, WA 98103-8218

Phone

(206) 829-8269

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Washington Luna Care Physical Therapy LLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1346808052
  Medicare reassignment Care Compare group
• King County Public Hospital District No 2

  dba Booth Gardner Parkinsons Care Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  Medicare reassignment
• Biojunction Sports Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1134405822

  Physical Therapist

  NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1710705645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 22ND AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156917",
            "telephone_number": "650-544-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WALLINGFORD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038218",
            "telephone_number": "206-829-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "SERRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61596780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grace Shelnutt
• Anita Marie Shelton, L.AC. L.M.P.
• Essence A Shelton
• Jenifer P Shelton, MOTR/L
• Marilyn M. Shelton, R.D.
• David Scott Shen-Miller, PH.D.
• Yu Lisa Shen-Vasen, M.D.
• Amy C Shen, RPH
• An Qi Shen
• Brittney Kimi Shen

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.