Active NPI
Wendy Shaw, MPT
- Pediatric Physical Therapist
- Spokane Valley, WA
National Provider Identifier
1013104082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT0010538
- Practice address
- 9212 E Montgomery Ave
#103
Spokane Valley, WA 99206-4239 - Phone
- (509) 922-0855
- Fax
- (509) 921-0050
- NPI assigned
- Oct 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT0010538 | WA | Primary |
Addresses
Primary practice location
9212 E Montgomery Ave
#103
Spokane Valley, WA 99206-4239
Mailing address
6211 N Felts St
Spokane, WA 99217-9667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0010538 | WA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1013104082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6211 N FELTS ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992179667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9212 E MONTGOMERY AVE",
"address_2": "#103",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064239",
"telephone_number": "509-922-0855",
"fax_number": "509-921-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "WENDY",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WA",
"license": "PT0010538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.