Shapes Physical Therapy & Wellness Clinic LLC
NPI 1790548642ActiveOrganization· Physical Therapist· Leesburg, VA
Physical Therapist in Leesburg, Virginia, registered in NPPES in February 2024. The authorized official on file is Shaista Ambreen, Chief Executive Officer.
Overview
| NPI | 1790548642 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2024 |
| Last updated in NPPES | Feb 2, 2024 |
| Certified by provider | Feb 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Leesburg
- 1891044129
- 1992110720
- 1154590883
- 1457596066
- 1154276368
- 1215358155
- 1427617422
- 1629128152
- 1447379748
- 1104869411
- 1003855388
- 1578021978