MR. SHANE TOUSSAINT DPT
NPI 1205262979
Physical Therapist in Woodbridge, VA

Active since September 25, 2013Accepts Medicare Assignment
14139 POTOMAC MILLS RD, WOODBRIDGE, VA 22192(703) 490-7689 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Shane Toussaint Dpt NPPES

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

MR. SHANE TOUSSAINT DPT (NPI 1205262979) is an individual physical therapist in Woodbridge, Virginia, licensed in Virginia (2305208235) and active in the NPI registry since September 2013. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1205262979
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. SHANE TOUSSAINTCredential: DPT
Location Address14139 POTOMAC MILLS RDWoodbridge, VA 22192-4644
Mailing Address14139 Potomac Mills RdWoodbridge, VA 22192-4644 · (703) 490-7689
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 25, 2013
Last NPPES UpdateJune 3, 2021
NPPES CertifiedJune 3, 2021
✔ NPI 1205262979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in VA · 2305208235
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
14139 POTOMAC MILLS RD, Woodbridge, VA 22192

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Shane Toussaint Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608003165
PECOS Enrollment IDI20131209001273, I20131210000538

Medicare Billing Reassignment

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

Health Maintenance Organization
13285 MINNIEVILLE ROAD
Woodbridge, VA 22192
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1215058326 (District of Columbia)
  • 995 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Pediatrics
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Internal Medicine
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Obstetrics & Gynecology
14139 POTOMAC MILLS RD, KAISER PERMANENTE WOODBRIDGE MEDICAL CENTER
WOODBRIDGE, VA 22192
Pharmacist (Ambulatory Care)
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Pediatrics
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Dietitian, Registered
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Pharmacist
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192

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 Shane Toussaint's NPI number?

The NPI number for Shane Toussaint is 1205262979. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Shane Toussaint located?

Shane Toussaint practices at 14139 Potomac Mills Rd, Woodbridge, VA 22192. The listed phone number is (703) 490-7689.

What is Shane Toussaint's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Shane Toussaint enrolled in Medicare?

Yes. Shane Toussaint is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shane Toussaint's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Toussaint reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Woodbridge, 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 Shane Toussaint'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 Shane Toussaint was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.