| Gregory B Shasby, PHD, PT | |
|
10128 W Broad St, Forum Bldg Iii, Suite K, Glen Allen, VA 23060-6761 | |
| (804) 217-9210 | |
| (804) 217-9213 |
| Full Name | Gregory B Shasby |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 10128 W Broad St, Glen Allen, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003906793 | NPI | - | NPPES |
| 342327 | Other | VA | BCBS (PHYSICAL THERAPY) |
| P00217523 | Other | KY | TRAVELERS MEDICARE ID |
| P00930518 | Other | VA | RAILROAD MEDICARE |
| 7263602 | Other | AETNA PROVIDER ID | |
| 000000331732 | Other | KY | ANTHEM BCBS PROVIDER ID |
| 1003906793 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 004092 (Kentucky) | Secondary |
| 225100000X | Physical Therapist | 2305205897 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory B Shasby, PHD, PT 771 Pilot House Dr, Newport News, VA 23606-1990 Ph: (757) 873-2302 | Gregory B Shasby, PHD, PT 10128 W Broad St, Forum Bldg Iii, Suite K, Glen Allen, VA 23060-6761 Ph: (804) 217-9210 |