MEDICARE: JOSHUA SETH SHOAF PT, DPT

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	225100000X	Physical Therapist	P21829	NC

General Provider Information

NPI Number	:	1164131280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA SETH SHOAF PT, DPT

Provider Business Mailing Address
First Line	:	2675 COURT DR
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-1478
Country	:	US
Telephone Number	:	704-824-7800
Fax Number	:	704-824-2822

Provider Business Practice Location Address
First Line	:	703 N US 29 HWY
Second Line	:
City	:	CHINA GROVE
State	:	NC
Zip	:	28023-2617
Country	:	US
Telephone Number	:	704-859-5040
Fax Number	:	704-856-8815

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

Provider Enumeration Date	:	11/17/2022
Last Update Date	:	04/07/2026

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