Shayna Marcelle Edson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33071 Issued in AZ

Practice address

580 N Camino Mercado Ste 25
Casa Grande, AZ 85122-5757

Phone

(855) 331-7522

NPI assigned

Jul 24, 2023

Sex

Female

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harvest Physical Therapy, LLCGroup PAC ID 3173511375, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Harvest Physical Therapy, LLC

  • Physical Therapist
  • Casa Grande, AZ
  • NPI 1295959674
  Medicare reassignment Care Compare group NPD
• The Pelvic Docs, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1669157525
  NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1700566874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W LAREDO AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335287",
            "telephone_number": "480-440-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N CAMINO MERCADO STE 25",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225757",
            "telephone_number": "855-331-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDSON",
        "first_name": "SHAYNA",
        "middle_name": "MARCELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "33071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Valley Infectious Diseases LLC
• Easter Seals Blake Foundation
• George Roger Edelen, MD
• Edgewood Casa Grande Az02 LLC
• Edit Behavioral Health LLC
• Ericah Aleece Edwards
• Karen Lee Edwards
• Zachary Edwards, DO
• Ehrbright and Hankel DDS, PLLC
• Christopher Philip Ehrbright, DDS

• Physical Therapist in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.