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NPI Code Detail

MEDICARE: RYAN P SHUMATE PT, DPT

MEDICARE: RYAN P SHUMATE 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
1225100000XPhysical Therapist2305208443VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C05954OTHERVAMEDICARE GROUP PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265853097
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN P SHUMATE PT, DPT
Provider Business Mailing Address
First Line : 8101 HINSON FARM RD STE 401
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-3409
Country : US
Telephone Number : 703-664-7660
Fax Number : 703-664-7663
Provider Business Practice Location Address
First Line : 8101 HINSON FARM RD STE 401
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-3409
Country : US
Telephone Number : 703-664-7660
Fax Number : 703-664-7663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2013
Last Update Date : 05/03/2021

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Directions to “ RYAN P SHUMATE PT, DPT” Practice Location

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