Individual provider Active NPI

Shawn M Lambert, PT

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1720055106
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209891 Issued in VA
Practice address
504 Albemarle SQ
Charlottesville, VA 22901-7405
Phone
(434) 817-7848
Fax
(434) 951-2194
NPI assigned
Mar 3, 2006
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60032241 WA
Physical Therapist 225100000X 2305209891 VA Primary

Addresses

Primary practice location

504 Albemarle SQ
Charlottesville, VA 22901-7405

Mailing address

504 Albemarle SQ
Charlottesville, VA 22901-7405
Phone (434) 817-7848

Other identifiers 1

IdentifierTypeStateIssuer
2305209891OtherVASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308002422 VA Practitioner - Physical Therapist in Private Practice 8325270887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVPT, LLCGroup PAC ID 1759570708, 7 clinicians

Practice addresses (Care Compare)

3413 Cox Rd
Henrico, VA 23233-2001
Phone (804) 729-4117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006590GAMDSocial Worker
2305209891VAMDPhysical Therapist
60032241WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MVPT, LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

14265 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 379-1905

15521 Midlothian Tpke
Ste 301
Midlothian, VA 23113
Phone (804) 464-2323

3413 Cox Rd
Richmond, VA 23233
Phone (804) 527-1460

Organizations & group practices 3

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1720055106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-817-7848",
            "fax_number": "434-951-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-817-7848",
            "fax_number": "434-951-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "SHAWN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60032241",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2305209891",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.