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DAYNE F SHAW PT, DPT
NPI 1053162230
Physical Therapist - Pediatrics in Shelley, ID

Active since March 27, 2024
650 N STATE ST STE 5, SHELLEY, ID 83274(208) 428-6079 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dayne F Shaw Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAYNE F SHAW PT, DPT (NPI 1053162230) is an individual pediatrics provider in Shelley, Idaho, licensed in Idaho (PT-8769) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1053162230
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameDAYNE F SHAWCredential: PT, DPT
Location Address650 N STATE ST STE 5Shelley, ID 83274-4900
Mailing Address650 N State St Ste 5Shelley, ID 83274-4900 · (208) 428-6079
Phone(208) 428-6079
Sole ProprietorYes
Enumeration DateMarch 27, 2024
Last NPPES UpdateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1053162230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in ID · PT-8769
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
650 N STATE ST STE 5, Shelley, ID 83274
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALL ACCESS THERAPY INC
Physical Therapist (Pediatrics)
650 N STATE ST STE 5
SHELLEY, ID 83274
Bingham County (208) 428-6079
CHRYSTAL DAWN BROWNING PT, DPT, PCS
Physical Therapist
650 N STATE ST STE 5
SHELLEY, ID 83274
Bingham County (208) 221-4677
STACY J GARDNER OT
Occupational Therapist (Pediatrics)
650 N STATE ST STE 5
SHELLEY, ID 83274
Bingham County (208) 428-6079
MEAGAN DENISE RICHARDS PT, DPT
Physical Therapist (Pediatrics)
650 N STATE ST STE 5
SHELLEY, ID 83274
Bingham County (208) 428-6079
JENNIFER YOUNG PTA
Physical Therapy Assistant
650 N STATE ST STE 5
SHELLEY, ID 83274
Bingham County (208) 221-4677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dayne Shaw's NPI number?

The NPI number for Dayne Shaw is 1053162230. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Dayne Shaw located?

Dayne Shaw practices at 650 N State St Ste 5, Shelley, ID 83274. The listed phone number is (208) 428-6079.

What is Dayne Shaw's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Dayne Shaw was last updated on September 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.