KELLY SHAW


Address: 200 2nd Ave, Kingston, PA 18704-5722
Phone: 5702889315

KELLY SHAW (NPI# 1740431915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740431915
Entity Type Individual
Full Name KELLY SHAW
Credential DPT
Practice Address 200 2nd Ave
Kingston
PA 18704-5722
Practice Telephone 5702889315
Mailing Telephone 5702889315
Enumeration Date 2008-10-07
Last Update Date 2008-10-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251G0304X Physical Therapist
Specialization: Geriatrics
PT011691L PA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KELLY SHAW

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
1376723874 Kelly Anne Shaw Counselor 200 Heritage Way, Kalispell, MT 59901-3146 2007-11-13
1235255829 Kelly Shaw Occupational Therapy Assistant 19401 S Vermont Ave, Suite A-200, Torrance, CA 90502-1029 2007-03-22

Office Location

Street Address 200 2ND AVE
City KINGSTON
State PA
Zip Code 18704-5722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952357659 Manor Care of Kingston Pa LLC Skilled Nursing Facility 200 2nd Ave, Kingston, PA 18704-5722 2006-05-25
1326660036 Kimberly Ann Scott Occupational Therapist 200 2nd Ave, Kingston, PA 18704-5722 2020-05-15
1215370986 Kevin Thomas Dpm PC Podiatrist 200 2nd Ave, Kingston, PA 18704-5722 2013-04-12
1447495791 Lorraine A Symons Physical Therapy Assistant 200 2nd Ave, Kingston, PA 18704-5722 2008-12-15
1588816904 Eileen Catherine Miller Occupational Therapist 200 2nd Ave, Kingston, PA 18704-5722 2008-10-16
1023260809 Peter Nguyen Occupational Therapist 200 2nd Ave, Kingston, PA 18704-5722 2008-10-13
1316198153 Jennifer Christine Miller Occupational Therapy Assistant 200 2nd Ave, Kingston, PA 18704-5722 2008-10-09
1912158767 Carol Marie Rentsch Occupational Therapy Assistant 200 2nd Ave, Kingston, PA 18704-5722 2008-10-09
1528219797 Sara M Maculloch Physical Therapy Assistant 200 2nd Ave, Kingston, PA 18704-5722 2008-10-07
1780835942 Kathleen Anne Evan-stout Physical Therapist 200 2nd Ave, Kingston, PA 18704-5722 2008-10-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013557552 Millmark Health Inc. Psychiatry & Neurology 511 Pierce Street, Kingston, PA 18704 2020-01-13
1427550334 Michael Anthony Waltich Military Health Care Provider 82 Cooper Street, Pringle, PA 18704 2018-03-06
1376088435 Jae LLC Massage Therapist 512 Northhampton Street, Edwardsville, PA 18704 2016-12-28
1306278288 Mohammad Khaled Tashkandi Internal Medicine 490 Northampton St Ste 1, Edwardsville, PA 18704 2013-08-02
1396180014 Sammie Craven IIi Pharmacist 96 1st Avenue, Kingston, PA 18704 2013-05-08
1447693114 Catherine Mary Harding Nurse Practitioner 141 South Maple Ave, Kingston, PA 18704 2013-04-12
1861781403 Jennifer Ann Richards Pharmacist 22 West Side Mall, Edwardsville, PA 18704 2011-04-05
1558512772 Jolon Theresa Sherin Speech-Language Pathologist 1825 Sans Souci Highway, Hanover, PA 18704 2008-10-07
1932361102 Kari Ann Pietralczyk Audiologist 190 Welles Street, Forty-fort, PA 18704 2008-06-30
1467584151 John Christopher Storti Chiropractor 180 United Penn Plaza, Kingston, PA 18704 2007-03-09
Find all providers in zip 18704

Taxonomy Information

Taxonomy Code 2251G0304X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Geriatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205151040 Pamela Jean Pellegrini Physical Therapist 36 Bay Farm Rd, Kingston, MA 02364-1555 2010-04-05
1356966840 John Giampietro Physical Therapist 601 Wyoming Ave, Kingston, PA 18704-3701 2020-06-10
1780835942 Kathleen Anne Evan-stout Physical Therapist 200 2nd Ave, Kingston, PA 18704-5722 2008-10-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003382334 Doriean Broady Physical Therapist 4902 Arch St Unit 1, Philadelphia, PA 19139-2727 2018-10-14
1790286680 Shayla J Brown Physical Therapist 5928 Old French Rd Unit 3, Erie, PA 16509-3656 2018-02-26
1275033656 Marika Desanctis Physical Therapist 2955 Adams Way, Riegelsville, PA 18077 2018-02-13
1871020438 Andrew Lam Physical Therapist 8720 Verree Rd, Philadelphia, PA 19115-3610 2017-05-15
1144683111 Rachana Sachdeva Physical Therapist 440 York Rd, Jenkintown, PA 19046-2853 2016-03-29
1184092926 Ellen G Kalikow Physical Therapist 1787 Oak Hill Dr, Huntingdon Valley, PA 19006-7727 2015-09-10
1538536321 Kristina Grande Physical Therapist 101 Cheyenne Dr, Old Forge, PA 18518-1581 2015-08-27
1740677848 Regina Anne Hoffman Physical Therapist 25 James Rd, Broomall, PA 19008-1409 2015-04-16
1740680065 Dorothy Brown Physical Therapist 2836 W 33rd St, Erie, PA 16506-3306 2014-08-25
1700285251 Sreenivas Paluvayi Physical Therapist 115 Brookfield Cir, Macungie, PA 18062-1144 2014-08-21
Find all providers with the same taxonomy

Competitor

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City KINGSTON
Zip Code 18704

Improve Information

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Dataset Information

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.

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