Individual provider Active NPI

Cheryl Shaw

  • Physical Therapy Assistant
  • Belchertown, MA
National Provider Identifier
1891300620
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
35 Turkey Hill Rd Ste 105
Belchertown, MA 01007-9032
Phone
(413) 323-1115
Fax
(413) 650-5548
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

35 Turkey Hill Rd Ste 105
Belchertown, MA 01007-9032

Mailing address

35 Turkey Hill Rd Ste 105
Belchertown, MA 01007-9032
Phone (413) 323-1115

Other practice location 1

1643 Memorial Dr
Chicopee, MA 01020-3132
Phone (413) 437-8550

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Health Group, P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1891300620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TURKEY HILL RD STE 105",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079032",
            "telephone_number": "413-323-1115",
            "fax_number": "413-650-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TURKEY HILL RD STE 105",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079032",
            "telephone_number": "413-323-1115",
            "fax_number": "413-650-5548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1643 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Chicopee",
            "state": "MA",
            "postal_code": "010203132",
            "country_code": "US",
            "telephone_number": "413-437-8550",
            "fax_number": "413-650-5548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belchertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.