Individual provider Active NPI

Shirley Kent, DPT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1821420860
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305208118 Issued in VA
Practice address
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone
(757) 457-5100
Fax
(757) 961-3696
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 2305208118 VA Primary

Addresses

Primary practice location

225 Clearfield Ave
Virginia Beach, VA 23462-1815

Mailing address

225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 457-5100

Other practice location 1

968 First Colonial Rd
Ste 101
Virginia Beach, VA 23454-3171
Phone (757) 412-1005

Other identifiers 1

IdentifierTypeStateIssuer
2305208118MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170329001629 VA Practitioner - Physical Therapist in Private Practice 6406131705 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Old Dominion UniversityGroup PAC ID 3476770520, 13 clinicians

Practice addresses (Care Compare)

1019 W
41St
Norfolk, VA 23529-0047
Phone (757) 683-7041

Merit-based Incentive Payment System (MIPS)

Final score
79.25 of 100Reported as group
Quality
57.23
Promoting interoperability
100
Improvement activities
40
Cost
73.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305208118VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Virginia, PLLC CurrentSince Apr 22, 2019 Accepting new patients
The Source Pelvic Health and Wellness LLC Current Accepting new patients
Mid-Atlantic Womens Care PLC CurrentSince Jan 19, 2026 Accepting new patients
Urology of Virginia, PLLC CurrentSince Apr 22, 2019 Accepting new patients

Locations

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

1925 Glenn Mitchell Dr
Ste 200
Virginia Beach, VA 23456
Phone (757) 425-1600

225 Clearfield Ave
Virginia Beach, VA 23462
Phone (757) 452-3459

1181 First Colonial Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 425-1600

Organizations & group practices 5

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1821420860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CLEARFIELD AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621815",
            "telephone_number": "757-457-5100",
            "fax_number": "579-613-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CLEARFIELD AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621815",
            "telephone_number": "757-457-5100",
            "fax_number": "757-961-3696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "968 First Colonial Rd",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543171",
            "country_code": "US",
            "telephone_number": "757-412-1005",
            "fax_number": "757-412-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENT",
        "first_name": "SHIRLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305208118",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.