Active NPI
Shana D Garland, PT ATC
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1952388993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305203825
- Practice address
- 397 Little Neck Rd
BLDG 3000 Dynamic Health Services
Virginia Beach, VA 23452 - Phone
- (757) 639-3153
- NPI assigned
- Dec 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305203825 | VA | Primary |
| Athletic Trainer | 2255A2300X | 0126000855 | VA |
Addresses
Primary practice location
397 Little Neck Rd
BLDG 3000 Dynamic Health Services
Virginia Beach, VA 23452
Mailing address
524 Diamond Plum Circle
Apt 302
Virginia Beach, VA 23452
Phone (757) 274-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105915 | Other | VA | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305203825 | VA | MD | Physical Therapist |
| 0126000855 | VA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosher Physical Therapy and Sportsmedicine Inc | Past | Accepting new patients | |
| Mosher Physical Therapy & Sports Medicine PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Cape Charles, VA
- NPI 1194702936
-
- Physical Medicine & Rehabilitation Physician
- Onley, VA
- NPI 1629055462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1952388993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 DIAMOND PLUM CIRCLE",
"address_2": "APT 302",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23452",
"telephone_number": "757-274-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 LITTLE NECK RD",
"address_2": "BLDG 3000 DYNAMIC HEALTH SERVICES",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23452",
"telephone_number": "757-639-3153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAND",
"first_name": "SHANA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "PT ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203825",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126000855",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "105915",
"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 Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.