Active NPI
Shaya Marie Dawson, DPT
- Physical Therapist
- Menlo Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 68 Willow Rd
Menlo Park, CA 94025-3653 - Phone
- (866) 839-6979
- NPI assigned
- Sep 13, 2007
- Last updated
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22320 | MD | |
| Physical Therapist | 225100000X | CA | Primary |
Addresses
Primary practice location
68 Willow Rd
Menlo Park, CA 94025-3653
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-2588
Other practice location 1
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-2588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Mesisca Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| JM Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
30025 Alicia Pkwy
Laguna Niguel, CA 92677
Phone (714) 231-0169
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Geriatric Physical Therapist
- Laguna Niguel, CA
- NPI 1821104472
-
- Physical Therapist
- Laguna Niguel, CA
- NPI 1558658336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1851586697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364871",
"telephone_number": "301-373-2588",
"fax_number": "301-373-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 WILLOW RD",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253653",
"telephone_number": "866-839-6979"
}
],
"practiceLocations": [
{
"address_1": "24035 Three Notch Rd",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "MD",
"postal_code": "206364871",
"country_code": "US",
"telephone_number": "301-373-2588",
"fax_number": "301-373-4558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "SHAYA",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22320",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.