MARY KRISTEN SHIPLEY PT
NPI 1790963155
Physical Therapist - Orthopedic in Johnson City, TN

Q: What is Mary Shipley's NPI number?

The NPI number for Mary Shipley is 1790963155. It was assigned to this individual provider in the NPPES registry on February 7, 2008. The provider is also known as Kristen Shipley Minor Pt.

Q: What is Mary Shipley's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Mary Shipley was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 07, 2008Accepts Medicare Assignment

88.4/100

CMS Quality Rating

2410 SUSANNAH ST, JOHNSON CITY, TN 37601(423) 282-9011 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2024, Aug 10, 2020, Mar 4, 2019 and 2 more (5 updates tracked since 2017).

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About Mary Kristen Shipley Pt NPPES

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

MARY KRISTEN SHIPLEY PT (NPI 1790963155) is an individual orthopedic provider in Johnson City, Tennessee, licensed in North Carolina (11480) and active in the NPI registry since February 2008. She maintains a secondary practice location in Greensboro and is a graduate of East Tennessee State University Quillen College Of Medicine (2007).

NPPES Registry Identity

NPI1790963155

Entity TypeIndividualFemale

Primary Taxonomy2251X0800X

Provider Legal NameMARY KRISTEN SHIPLEYCredential: PT

Location Address2410 SUSANNAH STJohnson City, TN 37601-1748

Mailing Address2410 Susannah StJohnson City, TN 37601-1748 · (423) 282-9011

Phone(423) 282-9011

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2007

Enumeration DateFebruary 7, 2008

Last NPPES UpdateJuly 10, 20245 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1790963155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in NC · 11480

Definition

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.

Also ListedPhysical TherapistTaxonomy 225100000X · License 11480 (NC)

2410 SUSANNAH ST, Johnson City, TN 37601

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Other Names 1

Professional Name (2)Kristen Shipley Minor Pt

Secondary Practice Location 1

Location 13200 Northline Ave Ste 160Greensboro, NC 27408-7613 · Phone (336) 545-5000 · Fax (336) 545-5020

Other Identifiers 3

OtherQ36607ANC · Medicare Ptan

OtherQ36607BNC · Medicare

Medicaid1790963155NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Kristen Shipley Pt 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 ID2860570561

PECOS Enrollment IDI20240410000800

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

623 services66 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

60 services17 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

52 services50 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.91

Promoting Interoperability

Improvement Activities

Cost

67.25

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.

RICHARD W DUNCAN MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)