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

Mary Kristen Shipley, PT

Individual provider Physical Therapist · NPI 1790963155

Mary Kristen Shipley, PT is a Physical Therapist in Private Practice in Johnson City, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 2007, 19 years ago. Practices with Watauga Orthopaedics PLC, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
NC
In the registry since
2008
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2410 Susannah St
Johnson City, TN 37601-1748
Phone: (423) 282-9011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 Northline Ave Ste 160, Greensboro, NC 27408-7613 — (336) 545-5000

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 11480 (NC)
Physical Therapist Taxonomy 225100000X · Licence 11480 (NC)

Record details

NPI number1790963155
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 7, 2008
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Watauga Orthopaedics Plc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City