George Leonard Shaw Jr., P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT007404 Issued in GA

Practice address

601 Northolt Pkwy
Suwanee, GA 30024-4360

Phone

(770) 904-3222

NPI assigned

Jul 7, 2015

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

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1558744680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 LANGFORD COMMONS DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711520",
            "telephone_number": "404-808-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NORTHOLT PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244360",
            "telephone_number": "770-904-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "GEORGE",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "GA",
            "license": "PT007404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashraful Haq Shaikh, PHARMD
• Waqas R Shaikh, MD, MPH
• Shalom Medical Group LLC
• Jennifer Ann Shannon, PHARMD
• Timothy G. Shaughnessy, D.D.S, M.S.
• Dylan Shearer, PA
• Marissa Cook Sheridan, NP-C
• Peyton Sheriff, RBT
• Aalya F Sherman, PHARMACIST
• Ling Shi

• Geriatric Physical Therapist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Geriatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.