Individual provider Active NPI

Riley Shaw, PT, DPT

  • Physical Therapist
  • Hendersonville, TN
National Provider Identifier
1992502983
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16260 Issued in TN
Practice address
190D Saundersville Rd Ste 2002
Hendersonville, TN 37075-1008
Phone
(615) 669-4043
NPI assigned
Feb 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16260 TN Primary

Addresses

Primary practice location

190D Saundersville Rd Ste 2002
Hendersonville, TN 37075-1008

Mailing address

1425 Unionville Deason Rd
Shelbyville, TN 37160-5628
Phone (309) 333-0653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250306000041 TN Practitioner - Physical Therapist in Private Practice 5193246247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staveoff Tennessee LLCGroup PAC ID 1153795646, 2 clinicians

Practice addresses (Care Compare)

190 D Saundersville Rd
Suite 2002
Hendersonville, TN 37075-1008
Phone (615) 669-4043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Staveoff Tennessee LLC Physical Therapist CurrentSince Feb 27, 2025 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Mar 11, 2025 Accepting new patients

Locations

190D Saundersville Rd
Ste 2002
Hendersonville, TN 37075
Phone (615) 669-4043

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

Organizations & group practices 2

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": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1992502983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 UNIONVILLE DEASON RD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371605628",
            "telephone_number": "309-333-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190D SAUNDERSVILLE RD STE 2002",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751008",
            "telephone_number": "615-669-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RILEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.