Individual provider Active NPI

Neil Francis Shaw, DPT

  • Physical Therapist
  • West Lafayette, IN
National Provider Identifier
1861065013
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2718 US Highway 52 W Ste C
West Lafayette, IN 47906-5529
Phone
(765) 237-3508
Fax
(765) 250-4989
NPI assigned
Jul 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1346973 TX
Physical Therapist 225100000X PT019373 OH
Physical Therapist 225100000X IN Primary

Addresses

Primary practice location

2718 US Highway 52 W Ste C
West Lafayette, IN 47906-5529

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

11855 Physicians Dr
El Paso, TX 79936
Phone (915) 855-6466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1346973TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy of El Paso, P.C. Physical Therapist CurrentSince Aug 2, 2021 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

2718 US Highway 52 W
Ste C
West Lafayette, IN 47906
Phone (765) 237-3508

11855 Physicians Dr
El Paso, TX 79936
Phone (915) 562-8525

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1861065013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 US HIGHWAY 52 W STE C",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479065529",
            "telephone_number": "765-237-3508",
            "fax_number": "765-250-4989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11855 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79936",
            "country_code": "US",
            "telephone_number": "915-855-6466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "NEIL",
        "middle_name": "FRANCIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1346973",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019373",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.