Mary Shipley, PT
Mary Shipley, PT is an Orthopedic Physical Therapist in Johnson City, TN, registered under NPI 1790963155. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 2410 SUSANNAH ST, Johnson City, TN 37601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 11480 | NC | Orthopedic Physical Therapist primary |
| 11480 | NC | Physical Therapist |
This provider holds licence 11480 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physical Therapist In Private Practice
- PAC ID
- 2860570561
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| North Carolina | I20080422000263 | Practitioner - Physical Therapist In Private Practice |
| Tennessee | I20240410000800 | Practitioner - Physical Therapist In Private Practice |
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. There are 2 separate enrolment records across 2 states (NC, TN). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Orthopedic covers
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. NUCC Health Care Provider Taxonomy, code 2251X0800X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2251X0800X | Orthopedic Physical Therapist Orthopedic | 11480 | NC | primary |
| 225100000X | Physical Therapist | 11480 | NC |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1790963155 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 7, 2008 |
| Last updated | Jul 10, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | PT |
| Practice address |
2410 SUSANNAH ST Johnson City, TN 37601 (423) 282-9011 |
| Other identifiers |
Q36607A
· Other (NC) Q36607B · Other (NC) 1790963155 · Medicaid (NC) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 9 | 0 | 9 | 6 | 3 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 9 | 6 | 6 | 1 | 1 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.