Individual provider Active NPI

Shari Lyn Gaal, PT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1922299239
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203051 Issued in VA
Practice address
1717 Will O Wisp Drive
Suite 100
Virginia Beach, VA 23454-3102
Phone
(757) 422-8476
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 025505-1 NY
Physical Therapist 225100000X 2305203051 VA Primary

Addresses

Primary practice location

1717 Will O Wisp Drive
Suite 100
Virginia Beach, VA 23454-3102

Mailing address

1717 Will O Wisp Drive
Suite 100
Virginia Beach, VA 23454-3102
Phone (757) 422-8476

Other practice location 1

4700 Onondaga Blvd
Syracuse, NY 13219-3316
Phone (315) 475-7121

Other names 1

  • Miss Shari Wilkins Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206002158 VA Practitioner - Physical Therapist in Private Practice 5193773893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

1717 Will O Wisp Dr
Suite 100
Virginia Beach, VA 23454-3102
Phone (757) 422-8476

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025505-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Aug 30, 2021 Accepting new patients
Orthovirginia Inc Physical Therapist Current Accepting new patients
Orthovirginia, Inc. CurrentSince Aug 30, 2021 Accepting new patients
Mary Lou Corcoran PT, P.C. PastSince Jul 1, 2020 Accepting new patients
Fitness Forum Physical Therapy, PC Physical Therapist Past Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

1717 Will O Wisp Dr
Ste 100
Virginia Beach, VA 23454
Phone (757) 422-8476

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1922299239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WILL O WISP DRIVE",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543102",
            "telephone_number": "757-422-8476",
            "fax_number": "804-435-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 WILL O WISP DRIVE",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543102",
            "telephone_number": "757-422-8476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Onondaga Blvd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132193316",
            "country_code": "US",
            "telephone_number": "315-475-7121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAAL",
        "first_name": "SHARI",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025505-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARI",
            "last_name": "WILKINS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 23, 2021; 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.