Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shelby Diachenko Jouppi, PT, DPT, EP-C

Individual provider Physical Therapist · NPI 1609460518

Shelby Diachenko Jouppi, PT, DPT, EP-C is a Physical Therapist in Private Practice in Charlotte, North Carolina. Qualified in 2018, 8 years ago. Practices with Full Circle Physical Therapy LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2400 Park Rd Ste G-1
Charlotte, NC 28203-6072
Phone: (704) 269-8874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277-4790 — (704) 323-3409

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P20222 (NC)

Record details

NPI number1609460518
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , EP-C
Sole proprietorNo
NPI enumeratedFebruary 22, 2021
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Full Circle Physical Therapy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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