MRS. KELLY RILEY SHAW (NPI# 1134161086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134161086 |
| Entity Type | Individual |
| Full Name | MRS. KELLY RILEY SHAW |
| Credential | PT |
| Practice Address |
705 17th St Suite 407 Columbus GA 31901-3500 |
| Mailing Address |
1030 Gregory Glen Rd Opelika AL 36801-9417 |
| Practice Telephone | 7063210930 |
| Mailing Telephone | 3348263353 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
4701 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PTH1172 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762822 | Kelly Shaw | Student in an Organized Health Care Education/Training Program | 9800 Warwickshire Ln, Charlotte, NC 28270-1601 | 2020-05-19 |
| 1114113214 | Kelly L Shaw | Registered Nurse | 8154 Painted Tree Trl, Fort Worth, TX 76131-4559 | 2007-09-21 |
| 1801928924 | Kelly P Shaw | Dentist | 75-5995 Kuakini Hwy Ste 113, Kailua Kona, HI 96740-2120 | 2007-03-12 |
| 1780231100 | Kelly Grace Shaw | Behavior Technician | 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 | 2019-08-21 |
| 1700277852 | Kelly Shaw | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2015-02-11 |
| 1205226107 | Kelly Corey Shaw | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-01-29 |
| 1790049807 | Kelly Shaw | Speech-Language Pathologist | 5219 88th Ave, Kenosha, WI 53144-7468 | 2012-07-03 |
| 1720213358 | Kelly Shaw | Social Worker | 1001 Georges Station Rd, Greensburg, PA 15601-6982 | 2009-05-27 |
| 1740431915 | Kelly Shaw | Physical Therapist | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-07 |
| 1376723874 | Kelly Anne Shaw | Counselor | 200 Heritage Way, Kalispell, MT 59901-3146 | 2007-11-13 |
| Street Address |
705 17TH ST SUITE 407 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794459 | Ketan Chhagan Dalsania | Podiatrist | 705 17th St, Columbus, GA 31901-3500 | 2005-07-17 |
| 1558892547 | Christina Marie Jackson | Occupational Therapist | 705 17th St, Suite 407, Columbus, GA 31901 | 2017-03-22 |
| 1902264914 | Anna Lauren Young | Speech-Language Pathologist | 705 17th St, Suite 407, Columbus, GA 31901-3500 | 2016-02-04 |
| 1598130932 | St Francis Affiliated Services LLC | Podiatrist | 705 17th St, Columbus, GA 31901-3500 | 2015-12-10 |
| 1437546942 | Jaimee M Gordon | Speech-Language Pathologist | 705 17th St, Suite 407, Columbus, GA 31901-3500 | 2015-04-22 |
| 1669861639 | Laura Leigh Sherwood | Physical Therapist | 705 17th St, Suite 407, Columbus, GA 31901-3500 | 2015-01-14 |
| 1043616006 | Joanna Boone Caldwell | Speech-Language Pathologist | 705 17th St, Suite 407, Columbus, GA 31901-3500 | 2014-11-18 |
| 1720403595 | St Francis Columbus Clinic LLC | Podiatrist | 705 17th St, Columbus, GA 31901-3500 | 2014-03-03 |
| 1427300383 | Laila Qudsi | Speech-Language Pathologist | 705 17th St, Suite 407, Columbus, GA 31901-3500 | 2012-10-02 |
| 1831446905 | Columbus Clinic PC | Podiatrist | 705 17th St, Columbus, GA 31901-3500 | 2012-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| Find all providers in zip 31901 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881140069 | Andrea Jean Bradley | Physical Therapist | 2400 Mcvey Ct, Columbus, OH 43235-2835 | 2016-08-29 |
| 1700395605 | Rebecca Berndt | Physical Therapist | 2001 Hamilton Ave, Columbus, OH 43211-2115 | 2017-09-22 |
| 1306374699 | Gretchen Shevelow | Physical Therapist | 1481 W Town St, Columbus, OH 43223-1379 | 2017-05-31 |
| 1194274845 | Sandra Antoszewski | Physical Therapist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2016-09-22 |
| 1114473204 | Cynthia A. Decerce | Physical Therapist | 2001 Hamilton Ave, Columbus, OH 43211-2115 | 2016-08-29 |
| 1891191102 | Jessica Brock | Physical Therapist | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2014-11-13 |
| 1871905919 | Jennie Amicon | Physical Therapist | 499 E Weisheimer Rd, Columbus, OH 43214-2238 | 2014-05-23 |
| 1295007581 | Mona Renee Mcclellan | Physical Therapist | 2625 Foxpointe Drive, Suite A, Columbus, IN 47203-3278 | 2012-02-01 |
| 1992911556 | Glenda Bailey Morris | Physical Therapist | 2879 Johnstown Rd, Columbus, OH 43219-1719 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379794 | Building Pathways Therapy LLC | Physical Therapist | 2124 Cheshire Bridge Rd Ne Apt 2006, Atlanta, GA 30324-5731 | 2020-09-04 |
| 1679191464 | Pt Mamas, LLC | Physical Therapist | 5660 Lake Forrest Dr, Atlanta, GA 30342-4635 | 2020-07-08 |
| 1336764869 | Outside The Box Pediatric Therapy Solutions | Physical Therapist | 123 Talbot Rd, Savannah, GA 31410-4015 | 2020-06-10 |
| 1215557921 | Carly Cee Witt Gesite | Physical Therapist | 11785 Northfall Ln Ste 501&502, Alpharetta, GA 30009-7971 | 2020-04-22 |
| 1669009627 | Rebecca Grant | Physical Therapist | 5461 Meridian Mark Rd Ste 300, Atlanta, GA 30342-4014 | 2020-03-26 |
| 1508401704 | Danielle Anderson | Physical Therapist | 2146 Thompson Ave Se, Covington, GA 30014-2819 | 2019-11-12 |
| 1124677919 | Therapy Trails of Evans | Physical Therapist | 536 Grand Slam Dr Ste D, Evans, GA 30809-8045 | 2019-09-05 |
| 1043877459 | Hop, Skip & Jump Pediatric Physical Therapy LLC | Physical Therapist | 912 Milledge Rd, Augusta, GA 30904-4455 | 2019-05-21 |
| 1255894366 | Cicely Annette Watson | Physical Therapist | 2620 Satellite Blvd Ste 100, Duluth, GA 30096-1291 | 2019-04-08 |
| 1942772975 | Wee Care Pediatric Therapy, LLC | Physical Therapist | 335 Old Rail Rd, Bloomingdale, GA 31302-4025 | 2019-01-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.