Healthcare Provider Details

I. General information

NPI: 1831019868
Provider Name (Legal Business Name): BRIANNA K SHOBERT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 ALBEMARLE SQ
CHARLOTTESVILLE VA
22901-7405
US

IV. Provider business mailing address

504 ALBEMARLE SQ
CHARLOTTESVILLE VA
22901-7405
US

V. Phone/Fax

Practice location:
  • Phone: 434-817-7848
  • Fax:
Mailing address:
  • Phone: 434-817-7848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217727
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: