Jonathan Thomas Shaw, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011233 Issued in MI

Practice address

3220 Dunwoodie Rd
Ann Arbor, MI 48105-4113

Phone

(734) 717-1690

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1912226366
  Medicare reassignment NPD
• S and G Rehab, Inc

  • Physical Therapist
  • Ann Arbor, MI
  • NPI 1235186768
  NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD
• Jacques Germa Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Ann Arbor, MI
  • NPI 1982729547
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1144264284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 BOWERMAN RD",
            "city": "HORTON",
            "state": "MI",
            "postal_code": "492469522",
            "telephone_number": "517-795-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 DUNWOODIE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481054113",
            "telephone_number": "734-717-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JONATHAN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Shavalia
• Jordan A Shavit, MD
• Alyssa Shaw, PA-C
• Ayana Elease Shaw
• Hannah Shaw, BSN, RN, C-EFM
• Rebekah Syd Shaw, MD
• Samantha Michele Shaw, MD
• Chrystal Shaward
• Andrew Shawhan, NP
• Lauren Shawver, MD

• Physical Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.