Collin Michael Shaver, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

51241 Issued in CA

Practice address

3400 Calloway Dr Ste 603
Bakersfield, CA 93312-2514

Phone

(661) 377-1700

NPI assigned

Mar 15, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1962103010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 TOWNSHIP ROAD 95",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458409658",
            "telephone_number": "567-230-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR STE 603",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122514",
            "telephone_number": "661-377-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "COLLIN",
        "middle_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parikshat Sharma, M.D.
• Rahul Sharma, MD
• Sanjiv Sharma, MD
• Morgyn Elizabeth Sharp, NP-C
• Peggy Val Sharp, RN
• Shavers Marriage Couples and Individual Therapy Corporation
• Chanell Shavers
• Amanda Jeanine Shaw, LVN
• Kara Lynne Shaw, RN
• Latasha Shaw, LVN

• Physical Therapy Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.