Abigail Ashley R Shew-a-Tjon

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30342 Issued in FL

Practice address

2761 SW Ensenada Ter
Port Saint Lucie, FL 34953-4153

Phone

(772) 634-4676

NPI assigned

Jul 20, 2020

Sex

Female

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1154939726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 SW ENSENADA TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534153",
            "telephone_number": "772-634-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 SW ENSENADA TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534153",
            "telephone_number": "772-634-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEW-A-TJON",
        "first_name": "ABIGAIL",
        "middle_name": "ASHLEY R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lymar Shaw
• Shamekah Shaw, RN
• Wayne Lymar Shaw
• Jeffrey Shay
• Sheild Care Transport Services LLC
• Tishara Shine, DOULA
• Donna Shipes
• Sara Shipley
• Meghan Shiskin, M.S., LMFT
• Noremi Diaz Shoaf, ARNP

• Physical Therapy Assistant in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.