Mary Shaw, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6785 Issued in MS

Practice address

5271 Getwell Rd
Southaven, MS 38672-9608

Phone

(901) 337-1656

NPI assigned

Aug 7, 2019

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeff Moye Inc.

  • Physical Therapist
  • Southaven, MS
  • NPI 1730364126
  Medicare reassignment NPD
• Jeff Moye, PHYSICAL THERAPIST

  • Physical Therapist
  • Southaven, MS
  • NPI 1487766085
  Medicare reassignment

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1922653708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5271 GETWELL RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729608",
            "telephone_number": "901-337-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5271 GETWELL RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729608",
            "telephone_number": "901-337-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MARY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senergetic Manifold Protoplasm LLC
• Carolyn Session
• Jason Sesti
• Shan Shah, MD
• Aneesha Shaiju, M.D.
• Shay Wellness, LLC
• Aidan Shea, MD
• Benjamin West Sheffer, M.D.
• Jesse Shelton, PHARM D.
• Joseph Brock Shemwell, RN

• Physical Therapist in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.

Verify at the official NPI Registry.