Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shapes Physical Therapy & Wellness Clinic LLC

Organization Physical Therapist · NPI 1790548642

Shapes Physical Therapy & Wellness Clinic LLC is a Physical Therapist in Leesburg, Virginia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19441 Golf Vista Plz Ste 110
Leesburg, VA 20176-8270
Phone: (509) 212-9661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1790548642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaista Ambreen — Chief Executive Officer · (509) 212-9661
NPI enumeratedFebruary 2, 2024
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024
Mailing address825 Ferndale Ter Ne, Leesburg, VA 20176-4872

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