Lisa Helms Shaw, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006128 Issued in GA

Practice address

3302 Lantern Coach LN NE
Roswell, GA 30075-3195

Phone

(404) 210-2093

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1164628152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 LANTERN COACH LN NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753195",
            "telephone_number": "404-210-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 LANTERN COACH LN NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753195",
            "telephone_number": "404-210-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LISA",
        "middle_name": "HELMS",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT006128",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT006128",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550480402A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mashallah Shakur, LCSW
• John Post Shallcross, PSY.D.
• Yousef Shams, MS. LPC
• Sharisma Yaa Fahie LLC
• Margaret Sharp, NP
• Lynette A Shaw
• Stuart Michael Shaw
• Samantha P Shay, PT, DPT
• Lauren Shea, RD
• Gwendolyn Leighann Shearer, PA-C

• Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.