Shelby Kay Vandeberghe, PT, DPT - Medicare Physical Therapist in Lithonia, GA

Shelby Kay Vandeberghe, PT, DPT is a medicare enrolled "Physical Therapist" provider in Lithonia, Georgia. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Emory Physical Therapy, Llc and her current practice location is 3007 Panola Rd Ste C, Lithonia, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 987-1122.

Shelby Kay Vandeberghe is licensed to practice in Georgia (license number PT013009) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164947909.

Contact Information

Shelby Kay Vandeberghe, PT, DPT
3007 Panola Rd Ste C,
Lithonia, GA 30038-2492
(770) 987-1122
(770) 987-1149

Map and Direction




Healthcare Provider's Profile

Full NameShelby Kay Vandeberghe
GenderFemale
SpecialityPhysical Therapy
Experience7 Years
Location3007 Panola Rd Ste C, Lithonia, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shelby Kay Vandeberghe graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1164947909
  • Provider Enumeration Date: 08/12/2017
  • Last Update Date: 08/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2264706993
  • Enrollment ID: I20170919004372

Medical Identifiers

Medical identifiers for Shelby Kay Vandeberghe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164947909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT013009 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emory Physical Therapy, Llc115338267653

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelby Kay Vandeberghe allows following entities to bill medicare on her behalf.
Provider NameIndependent Physical Therapy Of Georgia Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780636068
PECOS PAC ID: 2961312244
Enrollment ID: O20040303000396
Provider NameEmory Physical Therapy, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1922018423
PECOS PAC ID: 1153382676
Enrollment ID: O20041019000776
Provider NameBenchmark Physical Therapy, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083666903
PECOS PAC ID: 1557395209
Enrollment ID: O20050921001120

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelby Kay Vandeberghe is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelby Kay Vandeberghe, PT, DPT
6397 Lee Hwy Ste 300,
Chattanooga, TN 37421-2564

Ph: (423) 238-7217
Shelby Kay Vandeberghe, PT, DPT
3007 Panola Rd Ste C,
Lithonia, GA 30038-2492

Ph: (770) 987-1122

Reviews and Comments


Physical Therapist in Lithonia, GA

Stephanie Marie Ravalese, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038
Phone: 770-987-1122    Fax: 770-987-1149
Jordan Alliah Davis, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038
Phone: 770-987-1122    Fax: 770-987-1149
Michelle Alade, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038
Phone: 770-987-1122    
Ami Kirollos, DPT
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038
Phone: 770-987-1122    
Khianna Anthony,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038
Phone: 770-987-1122    
Corrine Celeste Bolles, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 6000 Hillandale Dr Ste 145, Lithonia, GA 30058
Phone: 678-418-8072    Fax: 678-418-8072

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.