Shawn McHenry, DPT
Individual provider Active NPI Physical Therapist · Crownpoint, NM
NPI 1306386008 · NPPES record last updated Feb 28, 2017
Key facts
- NPI
- 1306386008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2016003542 (MO)
- Practice address
- Hwy 371 & Route 9 Junction
Crownpoint, NM 87313 - Phone
- (505) 786-5291
- Fax
- (505) 786-6440
- NPI assigned
- Feb 28, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170403001330 | TX | Practitioner - Physical Therapist in Private Practice | 8820373905 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016003542 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo Pintado Clinic | Current |
Accepting new patients | |
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| Thoreau Clinic | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2016003542 | MO | Yes |
Addresses
Primary practice location
Hwy 371 & Route 9 Junction
Crownpoint, NM 87313
Mailing address
PO Box 358
Crownpoint, NM 87313-0358
Phone (505) 786-5291
Other providers in Crownpoint, NM
- Christopher Looney
- Elizabeth Lynch
- Alfred Matthew Macaltao
- Monika Rae Martinez
- Charles Elias Matli
- Dakota McMurray
- Beau Morgan
- Alexandra J. Murphy
- Appolinaire Nari
- Navajo Nation Crownpoint Outpatient Treatment Center
All providers in Crownpoint, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.