Gordon Emerson Shay, M.S., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18216 Issued in MD

Practice address

9131 Kirkdale Rd
Bethesda, MD 20817-3301

Phone

(301) 571-5068

NPI assigned

Aug 19, 2007

Sex

Male

Sole proprietor

Yes

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 DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Bethesda, MD
  • NPI 1588013155

  DC

  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187481600000",
    "number": "1891988366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 KIRKDALE RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173301",
            "telephone_number": "301-571-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 KIRKDALE RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173301",
            "telephone_number": "301-571-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAY",
        "first_name": "GORDON",
        "middle_name": "EMERSON",
        "name_prefix": "Mr.",
        "credential": "M.S., P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-19",
        "last_updated": "2007-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven S Sharpe, MD
• James Stephen Shaw, MD
• Janet Shaw, MD
• Lisa Shaw, MD
• Wallace Philip Shaw, BM BCH PHD
• Reza Shayesteh, M.D.
• Vera Shcherbakova
• Megan Shea
• Karin Vanessa Shealey-Hill, REGISTERED DIETITIAN
• Deanna Sheets, ARNP, FNP-C, WHNP-BC

• Physical Therapist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2007; 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.