Shelby Leigh Mutter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213282 Issued in VA

Practice address

164 Campbell LN
Tazewell, VA 24651-9783

Phone

(276) 988-5946

NPI assigned

Nov 7, 2019

Last updated

Nov 7, 2019By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scoff824108@hcr-manorcare.com

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.

• Greenbrier Valley Physical Therapy, LLC

  dba Ridgeline Physical Therapy

  • Physical Therapist
  • Low Moor, VA
  • NPI 1710537626
  NPD
• Greenbrier Valley Physical Therapy LLC

  dba Bodyworks Physical Therapy

  • Specialist
  • Princeton, WV
  • NPI 1447932744
  NPD

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1841835402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S WYE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243829601",
            "telephone_number": "276-620-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 CAMPBELL LN",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246519783",
            "telephone_number": "276-988-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTER",
        "first_name": "SHELBY",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scoff824108@HCR-manorcare.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "164 Campbell Ln",
            "city": "Tazewell",
            "state": "VA",
            "country_code": "US",
            "postal_code": "246519783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abigail Joy Mitchell, OD
• Amy Mitchell
• Tonia G Mitchell, C., FNP
• Sarah Danielle Mitchem
• Thomas H Moss, MD
• Rachael Myers, MSW-S
• Sara Necessary, RN, BSN, MBA
• Katie Newsome-Deel, APRN
• Ikenna S. Nzeogu, D.O.
• Olde Virginia Pharmacy, Inc.

• Physical Therapist in Tazewell, VA
• Providers in Tazewell, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.