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KELLY SHOTTS M.S. SLP
NPI 1093351876
Speech-Language Pathologist in Virginia Beach, VA

Active since November 27, 2019
4772 EUCLID RD STE C, VIRGINIA BEACH, VA 23462(757) 615-2684(757) 540-1126 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 24, 2025, Dec 31, 2024, Aug 16, 2022 and 2 more (5 updates tracked since 2019).

About Kelly Shotts M.s. Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SHOTTS M.S. SLP (NPI 1093351876) is an individual speech-language pathologist provider in Virginia Beach, Virginia, licensed in Virginia (2202009539) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1093351876
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY SHOTTSCredential: M.S. SLP
Location Address4772 EUCLID RD STE CVirginia Beach, VA 23462-3800
Mailing Address412 Gotham RdVirginia Beach, VA 23452-2429 · (757) 615-2684
Phone(757) 615-2684
Fax(757) 540-1126
Sole ProprietorNo
Enumeration DateNovember 27, 2019
Last NPPES UpdateNovember 24, 20255 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1093351876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in VA · 2202009539
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4772 EUCLID RD STE C, Virginia Beach, VA 23462
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Other Names 1

Former Name (1)Kelly Kirby M.s. Slp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Shotts M.s. Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kelly Shotts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jp Therapy, LLC
2.3 mi
Physical Rehabilitation
5604 VIRGINIA BEACH BLVD STE 101
Virginia Beach, VA 23462
  • Reassigned Medicare billing, Virginia enrollment
  • 79 clinicians in this Medicare group
NPI 1851770598 (757) 455-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHRYN ARIELLE VLIETSTRA BAKER AU.D.
Audiologist
4772 EUCLID RD STE C
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 272-1694
KATERINA MARIA DELIDAKIS
Speech-Language Pathologist
4772 EUCLID RD STE C
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 606-0987
RESOLUTE THERAPY COLLABORATIVE, LLC
Clinic/Center (Hearing and Speech)
4772 EUCLID RD STE C
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 615-6284
ALLISON ANNE HILL CCC-SLP
Speech-Language Pathologist
4772 EUCLID RD STE C
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 606-0987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Shotts's NPI number?

The NPI number for Kelly Shotts is 1093351876. It was assigned to this individual provider in the NPPES registry on November 27, 2019. The provider is also known as Kelly Kirby M.S. Slp.

Where is Kelly Shotts located?

Kelly Shotts practices at 4772 Euclid Rd Ste C, Virginia Beach, VA 23462. The listed phone number is (757) 615-2684.

What is Kelly Shotts's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kelly Shotts enrolled in Medicare?

Yes. Kelly Shotts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Shotts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Shotts reassigns Medicare benefits to Jp Therapy, LLC (Virginia Beach, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Shotts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Shotts was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.