John Eric Shaw, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1157 Issued in WV

Practice address

500 Market St
Grafton, WV 26354-1184

Phone

(304) 265-2191

Fax

(304) 265-2194

NPI assigned

Nov 8, 2011

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charleston Physical Therapy Specialists Inc

  • Physical Therapist
  • Charleston, WV
  • NPI 1528169976
  NPD (past)
• Huntington Physical Therapy Services Inc

  • Physical Therapist
  • Huntington, WV
  • NPI 1922059641
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2011.

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1619254489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARKET ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541184",
            "telephone_number": "304-265-2191",
            "fax_number": "304-265-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541184",
            "telephone_number": "304-265-2191",
            "fax_number": "304-265-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157012000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Kay Schmuck
• Wanda Mae Schmuck
• Gregory Paul Selasky, MS, P.A.-C
• Burl Shaffer
• Amanda Jean Sharp
• Tiffany Jo Short, BA
• Vanessa Short, LICSW
• Diana Jill Simmons
• Maryln M Sinnett
• Barbara S Smith

• All providers in Grafton, WV
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.