Individual provider Active NPI

Mary Catherine Staten, PT, DPT

  • Physical Therapist
  • Chesapeake, VA
National Provider Identifier
1841041514
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP048649T Issued in VA
Practice address
911 B St Ste 102
Chesapeake, VA 23324-2462
Phone
(757) 548-0014
NPI assigned
Mar 29, 2024
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP037215T TN
Physical Therapist 225100000X CP044785T SC
Physical Therapist 225100000X P19983 NC
Physical Therapist 225100000X CP048649T VA Primary

Addresses

Primary practice location

911 B St Ste 102
Chesapeake, VA 23324-2462

Mailing address

PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050

Other practice location 1

18 Village Cir
Beaufort, SC 29907
Phone (843) 986-9670

Other practice location 2

201 N Church St Ste 110
Mooresville, NC 28115-2602
Phone (704) 909-7808

Other practice location 3

6277 Carolina Commons Dr Ste 900
Indian Land, SC 29707-6010
Phone (803) 431-7478

Other practice location 4

6816 Charlotte Pike Ste 103
Nashville, TN 37209-4275
Phone (615) 356-0710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, TN, VA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240604004407 SC Practitioner - Physical Therapist in Private Practice 7618419730 Reassigns benefits to 1 organization
I20240612001294 NC Practitioner - Physical Therapist in Private Practice 7618419730 Reassigns benefits to 2 organizations
I20250205000629 TN Practitioner - Physical Therapist in Private Practice 7618419730 Reassigns benefits to 2 organizations
I20251010000383 VA Practitioner - Physical Therapist in Private Practice 7618419730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Rehabilitation IncGroup PAC ID 9537071535, 17 clinicians
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

5585 N Croatan Hwy
Kitty Hawk, NC 27949-3996
Phone (252) 261-1556

911 B St
Suite 102
Chesapeake, VA 23324-2462
Phone (757) 548-0014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19983NCMDPhysical Therapist
CP044785TSCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Coastal Rehabilitation Inc Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Nov 21, 2024 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince May 29, 2024 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince May 29, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Nov 21, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Nov 21, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora Health Services, Inc. Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Coastal Rehabilitation Inc Physical Therapist Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

101 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-2114

5585 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-1556

503 Cypress Ln
#A
Manteo, NC 27954
Phone (252) 338-2114

201 N Church St
Ste 110
Mooresville, NC 28115
Phone (704) 909-7808

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

6277 Carolina Commons Dr
Ste 900
Indian Land, SC 29707
Phone (803) 431-7478

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

6816 Charlotte Pike
Ste 103
Nashville, TN 37209
Phone (615) 356-0710

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

911 B St
Ste 102
Chesapeake, VA 23324
Phone (757) 548-0014

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841041514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 B ST STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233242462",
            "telephone_number": "757-548-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Village Cir",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "29907",
            "country_code": "US",
            "telephone_number": "843-986-9670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Church St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281152602",
            "country_code": "US",
            "telephone_number": "704-909-7808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6277 Carolina Commons Dr Ste 900",
            "address_purpose": "LOCATION",
            "city": "Indian Land",
            "state": "SC",
            "postal_code": "297076010",
            "country_code": "US",
            "telephone_number": "803-431-7478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6816 Charlotte Pike Ste 103",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372094275",
            "country_code": "US",
            "telephone_number": "615-356-0710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATEN",
        "first_name": "MARY CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "CP037215T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP044785T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19983",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP048649T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.