Claude Goodman Shaw Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2534 Issued in NC

Practice address

5800 Old Providence Rd
Charlotte, NC 28226-6872

Phone

(704) 365-8551

Fax

(704) 365-8505

NPI assigned

Nov 10, 2022

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1053029801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 BROOKMEADE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267724",
            "telephone_number": "980-254-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 OLD PROVIDENCE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266872",
            "telephone_number": "704-365-8551",
            "fax_number": "704-365-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CLAUDE",
        "middle_name": "GOODMAN",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A2534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Miller Shattuck, M.D., PH.D
• Shauna H. Christensen Chiropractic, Inc. (Christensen Chiropractic)
• David C. Shaver, MD
• Aaron J. Shaw, OT
• Catherine McCalley Shaw, FNP
• Dale R. Shaw, M.D.
• Felicia Shaw
• Hannah Paige Shaw, PHARMD
• Jonathan Shaw
• Justin Taylor Shaw, MD

• Physical Therapy Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.