MEDICARE: SHELBY NESTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	2306603765	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2306603765	OTHER	VA	STATE PHYSICAL THERAPY BOARD

General Provider Information

NPI Number	:	1073909131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY NESTER

Provider Business Mailing Address
First Line	:	12906 NEW PARKLAND DR
Second Line	:
City	:	HERNDON
State	:	VA
Zip	:	20171-2645
Country	:	US
Telephone Number	:	724-344-7526
Fax Number	:

Provider Business Practice Location Address
First Line	:	9642 BURKE LAKE RD
Second Line	:
City	:	BURKE
State	:	VA
Zip	:	22015-3052
Country	:	US
Telephone Number	:	703-543-7920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	04/15/2015

Similar Medicare Providers

1750514311 — PROF. SHERRI W SHUNFENTHAL SLP/CCC
Practice Location Address:

9642 BURKE LAKE RD
BURKE, VA
22015-3052

Practice Phone: 703-425-1698
Practice Fax:

1245550060 — LEGACY HEALTHCARE SERVICES, INC
Practice Location Address:

9642 BURKE LAKE RD
BURKE, VA
22015-3052

Practice Phone: 703-543-7920
Practice Fax: 703-543-7924

1689098071 — JANICE F DOWNEY MPT
Practice Location Address:

9642 BURKE LAKE RD
BURKE, VA
22015-3052

Practice Phone: 703-543-7920
Practice Fax:

1508575580 — JORDYN HARRISON COTA
Practice Location Address:

9642 BURKE LAKE RD
BURKE, VA
22015-3052

Practice Phone: 703-425-1698
Practice Fax:

1497905681 — DR. DAVID MICHAEL TREFF D.D.S.
Practice Location Address:

5284 LYNGATE CT
BURKE, VA
22015-1688

Practice Phone: 703-712-8077
Practice Fax: 703-562-0812

1962359984 — VERITAS PSYCHIATRIC HEALTH
Practice Location Address:

8908 LAKE BRADDOCK DR
BURKE, VA
22015-2128

Practice Phone: 240-462-1328
Practice Fax:

Directions to “ SHELBY NESTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.