Individual provider Active NPI

Shaunna R Mayers, PT

  • Physical Therapist
  • Glen Allen, VA
National Provider Identifier
1730638206
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207161 Issued in VA
Practice address
5300 Hickory Park Dr Ste 110
Glen Allen, VA 23059-2629
Phone
(804) 270-7754
Fax
(804) 270-7756
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 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 2305207161 VA Primary

Addresses

Primary practice location

5300 Hickory Park Dr Ste 110
Glen Allen, VA 23059-2629

Mailing address

5300 Hickory Park Dr Ste 110
Glen Allen, VA 23059-2629
Phone (804) 270-7754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191127000439 VA Practitioner - Physical Therapist in Private Practice 6608209911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Rehabilitation Network LLCGroup PAC ID 3779588256, 31 clinicians

Practice addresses (Care Compare)

5300 Hickory Park Dr
Suite 110
Glen Allen, VA 23059-2629
Phone (804) 270-7754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305207161VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Rehabilitation Network LLC Physical Therapist CurrentSince Oct 7, 2019 Accepting new patients
Progress Rehabilitation Network, LLC Physical Therapist PastSince Oct 7, 2019 Accepting new patients
Roberts Physical Therapy & Massage Physical Therapist PastSince Nov 1, 2004 Accepting new patients

Locations

5300 Hickory Park Dr
Ste 110
Glen Allen, VA 23059
Phone (804) 270-7754

2436 Colony Crossing Pl
Ste 2
Midlothian, VA 23112
Phone (804) 270-7754

3001 Hungary Spring Rd
Ste D
Richmond, VA 23228
Phone (804) 756-8490

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1730638206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR STE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "804-270-7754",
            "fax_number": "804-270-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR STE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "804-270-7754",
            "fax_number": "804-270-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYERS",
        "first_name": "SHAUNNA",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.