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

Shane D Mondloch, PT

Individual provider Physical Therapist · NPI 1073328241

Shane D Mondloch, PT is a Physical Therapist in Private Practice in North Chesterfield, Virginia. Qualified in 2025, 1 year ago. Practices with Nirschl Orthopaedic Center for Sportsmedicine and Joint Reconstruction, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
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

1115 Boulders Pkwy Ste 100B
North Chesterfield, VA 23225-4067
Phone: (804) 330-8165
Fax: (804) 330-3948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1715 N George Mason Dr Ste 504, Arlington, VA 22205-3670 — (703) 525-2220

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305217306 (VA)

Record details

NPI number1073328241
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 12, 2025
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Nirschl Orthopaedic Center For Sportsmedicine And Joint Reconstruction — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Chesterfield