Sarah Ann Shaw, MPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

P17581 Issued in NC

Practice address

2817 Reilly Road
Department of Ortho & Rehab
Fort Bragg, NC 28310-3500

Phone

(910) 907-9798

NPI assigned

May 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sarah Ann Tyndall Professional name

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": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1205047438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 S WARNOCK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ROAD",
            "address_2": "DEPARTMENT OF ORTHO & REHAB",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283103500",
            "telephone_number": "910-907-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT018355",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P17581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "TYNDALL",
            "middle_name": "ANN",
            "credential": "MPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Casey C Shaheen
• Robert Craig Shakespeare, DMD
• Jacob Shanks, PA-C
• Christopher Keaton Sharp
• Joseph Sharp, DO
• Shobha Shekhar, M.D.
• Rowan Richard Andrew Sheldon, MD
• Clint Tyler Shelley, DDS
• David Brian Shelley, PA-C
• Ray Marion Shelton, P.A.

• Orthopedic Physical Therapist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.