Gregory B Shasby, PHD, PT | |
10128 W Broad St, Forum Bldg Iii, Suite K, Glen Allen, VA 23060-6761 | |
(804) 217-9210 | |
(804) 217-9213 |
Full Name | Gregory B Shasby |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 10128 W Broad St, Glen Allen, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003906793 | NPI | - | NPPES |
342327 | Other | VA | BCBS (PHYSICAL THERAPY) |
P00217523 | Other | KY | TRAVELERS MEDICARE ID |
P00930518 | Other | VA | RAILROAD MEDICARE |
7263602 | Other | AETNA PROVIDER ID | |
000000331732 | Other | KY | ANTHEM BCBS PROVIDER ID |
1003906793 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 004092 (Kentucky) | Secondary |
225100000X | Physical Therapist | 2305205897 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Gregory B Shasby, PHD, PT 771 Pilot House Dr, Newport News, VA 23606-1990 Ph: (757) 873-2302 | Gregory B Shasby, PHD, PT 10128 W Broad St, Forum Bldg Iii, Suite K, Glen Allen, VA 23060-6761 Ph: (804) 217-9210 |