Shaw Enterprises

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

8650 Issued in CO

Legal business name

SHAW ENTERPRISES

Practice address

401 Rio Rancho Way
Brighton, CO 80601-3539

Phone

(303) 514-9912

NPI assigned

Jan 19, 2009

Organization subpart

No

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

Authorized official

Name

Johnelle Nuspl Shaw, PT, MSPT, DPTNPI 1134380587

Title

Gen PTR

Phone

(303) 514-9912

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnelle Nuspl Shaw, PT, MSPT, DPT

  • Contractor
  • Lafayette, CO
  • NPI 1134380587
  NPD (past) Authorized official

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1104063775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RIO RANCHO WAY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013539",
            "telephone_number": "303-514-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RIO RANCHO WAY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013539",
            "telephone_number": "303-514-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JOHNELLE",
        "authorized_official_middle_name": "NUSPL",
        "authorized_official_title_or_position": "GEN PTR",
        "authorized_official_telephone_number": "303-514-9912",
        "authorized_official_credential": "PT, MSPT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "8650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
            "identifier": "8650",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephan W Shane, D.O.
• Austin Kenneth Sharp
• Jill Sharp, LCSW
• Heidi Lynn Sharpnack, RN
• Shaviz Agency LLC
• Brian Shaw, OTR/L
• David L Shaw, R.PH.
• Kelsey Branch Sheetz, RD
• Yijun Shen
• Erika Shepard, FNP

• Physical Therapy Clinic/Center in Brighton, CO
• Providers in Brighton, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.