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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: October 18, 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dayne F Shaw Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Dayne Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

All Access Therapy Inc
Same address
Pediatrics
650 N STATE ST STE 5
Shelley, ID 83274
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group
NPI 1154091874 (208) 428-6079

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Dayne Shaw enrolled in Medicare?

Yes. Dayne Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dayne Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dayne Shaw reassigns Medicare benefits to All Access Therapy Inc (Shelley, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dayne Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dayne Shaw accept?

Health plans from PacificSource Health Plans and Select Health list Dayne Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dayne Shaw was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.