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

Shannon Schilstra, DPT

Individual provider Physical Therapist · NPI 1053928978

Shannon Schilstra, DPT is a Physical Therapist in Private Practice in Prince George, Virginia. Qualified in 2020, 6 years ago. Practices with Preventative Physical Therapy PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4710 Puddledock Rd Ste 100
Prince George, VA 23875-1269
Phone: (804) 732-0095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305213691 (VA)

Record details

NPI number1053928978
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 24, 2020
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing addressPo Box 715868, Philadelphia, PA 19171

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Preventative Physical Therapy Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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