Shelby Diachenko Jouppi, PT, DPT, EP-C in Charlotte, NC - Medicare Physical Therapy Provider

Shelby Diachenko Jouppi, PT, DPT, EP-C is a medicare enrolled "Physical Therapist" provider in Charlotte, North Carolina. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Full Circle Physical Therapy Llc and her current practice location is 2400 Park Rd Ste G-1, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 269-8874.

Shelby Diachenko Jouppi is licensed to practice in North Carolina (license number P20222) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609460518.

Contact Information

	Shelby Diachenko Jouppi, PT, DPT, EP-C
	2400 Park Rd Ste G-1, Charlotte, NC 28203-6072
	(704) 269-8874
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby Diachenko Jouppi
Gender	Female
Speciality	Physical Therapy
Experience	6 Years
Location	2400 Park Rd Ste G-1, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shelby Diachenko Jouppi graduated from medical school in 2018

NPI Data:

NPI Number: 1609460518
Provider Enumeration Date: 02/22/2021
Last Update Date: 06/30/2022

Medicare PECOS Information:

PECOS PAC ID: 3274924725
Enrollment ID: I20211217000625

Medical Identifiers

Medical identifiers for Shelby Diachenko Jouppi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609460518	NPI	-	NPPES
0397730019	Other	NC	NSC #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P20222 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Full Circle Physical Therapy Llc	0941691612	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelby Diachenko Jouppi allows following entities to bill medicare on her behalf.

Provider Name	Full Circle Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1265003289 PECOS PAC ID: 0941691612 Enrollment ID: O20220107000216

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelby Diachenko Jouppi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shelby Diachenko Jouppi, PT, DPT, EP-C 2400 Park Rd Ste G-1, Charlotte, NC 28203-6072 Ph: (704) 269-8874	Shelby Diachenko Jouppi, PT, DPT, EP-C 2400 Park Rd Ste G-1, Charlotte, NC 28203-6072 Ph: (704) 269-8874

Reviews and Comments

Physical Therapist in Charlotte, NC

Karan Bobby Johar, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 3800 Shamrock Dr, Charlotte, NC 28215 Phone: 704-532-7000
Jessica Huschart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2382
Victoria Parish Reynolds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277 Phone: 704-323-3409
Activade Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Woodruff Pl, Charlotte, NC 28208 Phone: 704-839-2019
Gelt Haridhas Pushpa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 S Kings Dr, Charlotte, NC 28204 Phone: 704-384-1737
Reyna Yuritzia Fox, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3442 Cypress Club Dr, Charlotte, NC 28210 Phone: 704-714-5500
Ashley F Volpenhein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7422 Lancer Dr, Charlotte, NC 28226 Phone: 704-307-0897

Shelby Diachenko Jouppi, PT, DPT, EP-C - Medicare Physical Therapist in Charlotte, NC