Active NPI
Shawn W McEwen, MPT
- Physical Therapist
- Puyallup, WA
National Provider Identifier
1730129115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007638
- Practice address
- 17520 Meridian E
Suite F
Puyallup, WA 98375-6265 - Phone
- (253) 864-7595
- Fax
- (253) 864-0457
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00007638 | WA | Primary |
Addresses
Primary practice location
17520 Meridian E
Suite F
Puyallup, WA 98375-6265
Mailing address
9315 Gravelly Lake Dr SW
Suite 203
Lakewood, WA 98499-1574
Phone (253) 581-5200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8346967 | Medicaid | WA | |
| MC5342 | Other | WA | REGENCE BLUESHEILD |
| 124028 | Other | WA | LABOR & INDUSTRIES |
| 8930579 | Other | WA | L&I CRIME VICTIMS PRGM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00007638 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Sports and Spine Rehabilitation PS | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Puyallup, WA
- NPI 1558310375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730129115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9315 GRAVELLY LAKE DR SW",
"address_2": "SUITE 203",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984991574",
"telephone_number": "253-581-5200",
"fax_number": "253-581-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17520 MERIDIAN E",
"address_2": "SUITE F",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756265",
"telephone_number": "253-864-7595",
"fax_number": "253-864-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEWEN",
"first_name": "SHAWN",
"middle_name": "W",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8346967",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHEILD",
"identifier": "MC5342",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "124028",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS PRGM",
"identifier": "8930579",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.